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CHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM
NPI 1861120552
Clinic/Center - Radiology, Mammography in Eagle Butte, SD

Active since August 10, 2022
24276 166TH ST, EAGLE BUTTE, SD 57625(605) 964-0736(605) 964-1176 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cheyenne River Breast & Cervical Cancer Early Detection Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM (NPI 1861120552) is a healthcare organization registered as a radiology, mammography in Eagle Butte, South Dakota and active in the NPI registry since August 2022. The organization lists Ramona Simon, Tribal Health Ceo, as its authorized official.

NPPES Registry Identity

NPI1861120552
Entity TypeOrganization
Primary Taxonomy261QR0206X
Legal Business NameCHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM
Location Address24276 166TH STEagle Butte, SD 57625-8141
Mailing AddressPo Box 590Eagle Butte, SD 57625-0590 · (605) 964-0556
Phone(605) 964-0736
Fax(605) 964-1176
Organization SubpartYesParent: Cheyenne River Sioux Tribe Field Health Clinic
Authorized OfficialRamona SimonTribal Health Ceo · (605) 964-0785
Enumeration DateAugust 10, 2022
Last NPPES UpdateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
✔ NPI 1861120552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Radiology, MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0206X
Also ListedClinic/CenterTaxonomy 261Q00000X
24276 166TH ST, Eagle Butte, SD 57625
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Other Names 1

Other NameCheyenne River Breast & Cervical Cancer Early Detection Program

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAKIYAN PETA LAC
Counselor (Addiction (Substance Use Disorder))
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0722
SUZIE M CHHOUK PHARMD
Pharmacist
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-1520
MS. ANGEL LEE WILSON-CROWE ARNP
Nurse Practitioner (Family)
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0675
SUSAN SEITZ
Registered Nurse
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-7724
DR. LATILIA DEANNE MACK PHARM.D.
Pharmacist
24276 166TH ST, AIRPORT RD
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0650
CRST COMMUNITY HEALTH REPRESENTATIVES (CHR) PROGRAM
Non-emergency Medical Transport (VAN)
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0728
DR. MONTE LOREN KRANZ D.D.S.
Dentist
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0736
CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC
Clinic/Center (Primary Care)
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheyenne River Breast & Cervical Cancer Early Detection Program's NPI number?

The NPI number for Cheyenne River Breast & Cervical Cancer Early Detection Program is 1861120552. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Cheyenne River Breast & Cervical Cancer Early Detection Program located?

Cheyenne River Breast & Cervical Cancer Early Detection Program is located at 24276 166th St, Eagle Butte, SD 57625. The listed phone number is (605) 964-0736.

What is Cheyenne River Breast & Cervical Cancer Early Detection Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.

When was this NPI record last updated?

The NPPES record for Cheyenne River Breast & Cervical Cancer Early Detection Program was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.