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Contact Information

DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE
388 DAKOTA AVE
SISSETON, SD57262-3327
 Phone: 605-698-3917
 Fax: 605-698-4449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE

NPI # 1508900507
LBN Legal business name DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE
Authorized official RICHARD BIRD - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SD License # 42828
SD Medicaid 5000230
SD Medicaid 9515282
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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