# EAGLE BUTTE INDIAN HEALTH SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063630853
- **Authorized official:** MRS. EUNICE ROSE HOLLOW HORN RN (REGISTERED NURSE)
- **Authorized official phone:** (605) 964-3007

## Contact information

- **Practice address:** 330 MAPLE STREET, 326, EAGLE BUTTE, SD 57625-1012
- **Practice address phone:** (605) 964-2653
- **Mailing address:** PO BOX 326, EAGLE BUTTE, SD 57625-1012
- **Mailing address phone:** (605) 964-2653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | RO28233 | SD | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/22/2020
