Family Medicine
STANDING ROCK SIOUX TRIBE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1861827743 · enumerated 2013-09-10 · record updated 2026-06-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SHANTELLE CRUZ, Third Party Billing Specialist · (701) 391-7170
Other names: STANDING ROCK SIOUX TRIBE WELLNESS PROGRAM
Addresses and phones
- Practice location 310 AGENCY AVE, FORT YATES, ND, 58538 (701) 854-3649 Fax (701) 989-4226 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX D, FORT YATES, ND, 58538-0522 (701) 391-7170 Fax (701) 854-8686 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
FORT YATES, ND, 58538
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.