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Contact Information

CRST COMMUNITY HEALTH REPRESENTATIVES (CHR) PROGRAM
24276 166TH ST
EAGLE BUTTE, SD57625-8141
 Phone: 605-964-0728
 Fax: 605-964-0734
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for CRST COMMUNITY HEALTH REPRESENTATIVES (CHR) PROGRAM

NPI Number 1295348548
LBN Legal business name CRST COMMUNITY HEALTH REPRESENTATIVES (CHR) PROGRAM
Authorized official RAMONA SIMON - (TRIBAL HEALTH CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2020
Last updated 08/05/2022 - About 4 years ago
Identifiers
SD Medicaid 5546290
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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