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Organization
INDIAN HEALTH SERVICES
Active
Organization
INDIAN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA WATT RN, BSN (DIRECTOR OF NURSING)
(605) 964-3007
Entity
Organization
Contact information
Practice address
317 NORTH MAIN ST, EAGLE BUTTE, SD 57625-1012
(605) 964-3007
(605) 964-1156
Mailing address
317 NORTH MAIN ST, EAGLE BUTTE, SD 57625-1012
(605) 964-3007
(605) 964-1156
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
R036258
SD
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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