Cheyenne River Breast & Cervical Cancer Early Detection Program
Cheyenne River Breast & Cervical Cancer Early Detection Program is a healthcare organization registered as Mammography Clinic/Center in Eagle Butte, SD, holding Type 2 (organization) NPI 1861120552 since 2022. The authorized official on file is Ramona Simon, Tribal Health Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1861120552 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cheyenne River Breast & Cervical Cancer Early Detection Program |
| Parent organization | Cheyenne River Sioux Tribe Field Health Clinic |
| Practice address | 24276 166TH ST, Eagle Butte, SD, 57625 |
| Phone | 6059640736 |
| Fax | 6059641176 |
| Enumeration date | 2022-08-10 |
| Last updated in NPPES | 2022-08-11 |
Authorized official
| Name | Ramona Simon |
|---|---|
| Title | Tribal Health Ceo |
| Phone | 6059640785 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Secondary | — | — |
| 261QR0206X | Mammography Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Cheyenne River Breast & Cervical Cancer Early Detection Program NPI: 1861120552 Taxonomy: 261QR0206X (Mammography Clinic/Center) Address: 24276 166TH ST, Eagle Butte, SD, 57625
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164430658 | Angel Wilson-Crowe | Individual | Family Nurse Practitioner | Eagle Butte, SD |
| 1851422596 | Cheyenne River Dental Clinic | Organization | Public Health Dentistry | Eagle Butte, SD |
| 1659530707 | Cheyenne River Sioux Tribe | Organization | Durable Medical Equipment & Medical Supplies | Eagle Butte, SD |
| 1457593725 | Cheyenne River Sioux Tribe Field Health Clinic | Organization | Primary Care Clinic/Center | Eagle Butte, SD |
| 1295082840 | Latilia Mack | Individual | Pharmacist | Eagle Butte, SD |
| 1447685250 | Monte Kranz | Individual | Dentist | Eagle Butte, SD |
| 1851702526 | Tony Miller | Individual | Registered Nurse | Eagle Butte, SD |
| 1295348548 | Crst Community Health Representatives (Chr) Program | Organization | Non-emergency Medical Transport (VAN) | Eagle Butte, SD |
Verify this record
Cross-check NPI 1861120552 against the authoritative CMS record: view Cheyenne River Breast & Cervical Cancer Early Detection Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Cheyenne River Breast & Cervical Cancer Early Detection Program?
Who is the authorized official for Cheyenne River Breast & Cervical Cancer Early Detection Program?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-11.