SPIRIT LAKE TRIBE

Clinic/Center — Podiatric

Code: 261QP1100X

Clinic/Center — Primary Care

Code: 261QP2300X

Clinic/Center — Radiology, Mammography

Code: 261QR0206X

Clinical Medical Laboratory

Code: 291U00000X

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Code: 332800000X

Ambulance — Land Transport

Code: 3416L0300X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Case Manager/Care Coordinator

Code: 171M00000X

Clinic/Center — Health Service

Code: 261QH0100X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Public Health, State or Local

Code: 261QP0905X

Case Management

Code: 251B00000X