# INDIAN HEALTH SERVICES

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

## Provider details

- **NPI number:** 1720230709
- **Authorized official:** JOHNNA WATT RN, BSN (DIRECTOR OF NURSING)
- **Authorized official phone:** (605) 964-3007

## Contact information

- **Practice address:** 317 NORTH MAIN ST, EAGLE BUTTE, SD 57625-1012
- **Practice address phone:** (605) 964-3007
- **Practice address fax:** (605) 964-1156
- **Mailing address:** 317 NORTH MAIN ST, EAGLE BUTTE, SD 57625-1012
- **Mailing address phone:** (605) 964-3007
- **Mailing address fax:** (605) 964-1156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | R036258 | SD | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/21/2008