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

NPI Status: Active since August 10, 2022

Contact Information

24276 166TH ST
EAGLE BUTTE, SD
ZIP 57625
Phone: (605) 964-0736
Fax: (605) 964-1176

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  • Organization
  • Clinic/Center
  • Radiology, Mammography

About CHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM

This page provides the complete NPI Profile along with additional information for Cheyenne River Breast & Cervical Cancer Early Detection Program, a provider established in Eagle Butte, South Dakota operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1861120552 assigned on August 2022. The practitioner's primary taxonomy code is 261QR0206X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ramona Simon Rn (Tribal Health Ceo)

NPI
1861120552
Provider Name
CHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM
Entity Type
Organization
Location Address
24276 166TH ST EAGLE BUTTE, SD 57625
Location Phone
(605) 964-0736
Location Fax
(605) 964-1176
Mailing Address
PO BOX 590 EAGLE BUTTE, SD 57625
Mailing Phone
(605) 964-0556
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-10-2022
Last Update Date
08-11-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology, Mammography

Taxonomy Code
261QR0206X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAMONA SIMON RN

Authorized Official Title
TRIBAL HEALTH CEO
Authorized Official Phone
(605) 964-0785

Reviews for CHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861120552
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121220510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 2 + 2 + 0 + 5 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1861120552 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295082840DR. LATILIA DEANNE MACK PHARM.D.
Individual
Pharmacist24276 166TH ST AIRPORT RD
EAGLE BUTTE, SD 57625
(605) 964-0650
1447685250DR. MONTE LOREN KRANZ D.D.S.
Individual
Dentist24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-0736
1851702526 TONY L MILLER RN
Individual
Registered Nurse24276 166TH ST AIRPORT RD
EAGLE BUTTE, SD 57625
(605) 964-7724
1780332023DR. RACHEL D LEE PHARM.D
Individual
Pharmacist24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-1520
1295348548CRST COMMUNITY HEALTH REPRESENTATIVES (CHR) PROGRAM
Organization
Non-emergency Medical Transport (VAN)24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-0728
1457593725CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC
Organization
Clinic/Center (Primary Care)24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-0785
1659530707CHEYENNE RIVER SIOUX TRIBE
Organization
Durable Medical Equipment & Medical Supplies24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-0772
1851422596CHEYENNE RIVER DENTAL CLINIC
Organization
Dentist (Dental Public Health)24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-0736
1073228615 SUZIE M CHHOUK PHARMD
Individual
Pharmacist24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-1520
1043090822 WAKIYAN PETA LAC
Individual
Counselor (Addiction (Substance Use Disorder))24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-0722
1235950411 SUSAN SEITZ
Individual
Registered Nurse24276 166TH ST
EAGLE BUTTE, SD 57625
(605) 964-7724

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861120552, enumerated in the NPI registry as an "organization" on August 10, 2022

The provider is located at 24276 166th St Eagle Butte, Sd 57625 and the phone number is (605) 964-0736

This medical organization specializes in Clinic/Center with taxonomy code 261QR0206X with a focus in Radiology, Mammography

This NPI record was last updated on August 10, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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