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Organization
ROSEBUD INDIAN HEALTH SERVICE
Active
Organization
ROSEBUD INDIAN HEALTH SERVICE
Active
Parent organization
ROSEBUD INDIAN HEALTH SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSEBUD INDIAN HEALTH SERVICE
Authorized official
MS. KATHEY WILSON (ACTING CEO)
(605) 747-2231
Entity
Organization
Contact information
Practice address
400 SOLDIER CREEK ROAD, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Mailing address
PO BOX 400, 400 SOLDIER CREEK ROAD, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140080
—
SD
05
—
5540080
—
SD
05
—
5549093
—
SD
05
—
5549520
—
SD
Enumeration date
02/29/2008
Last updated
09/04/2014
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