# IHS EAGLE BUTTE

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

## Provider details

- **NPI number:** 1497046767
- **Authorized official:** MS. KATHLEEN IONE RED DOG R.N. (NURSE)
- **Authorized official phone:** (605) 848-2396

## Contact information

- **Practice address:** 317 S. MAIN ST., EAGLE BUTTE, SD 57625-1012
- **Practice address phone:** (605) 964-2814
- **Mailing address:** PO BOX 64, EAGLE BUTTE, SD 57625
- **Mailing address phone:** (605) 848-2396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | R039790 | SD | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 04/21/2011