Organization
INDIAN HEALTH SERVICE
Active
Other names
Indian Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA CLEVELAND (DIRECTOR OF NURSING)
(605) 747-3310
Entity
Organization
Contact information
Practice address
SOLDIER CREEK ROAD, POB 400, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Mailing address
400 SOLDIER CREEK ROAD, POB 400, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28211100A
—
SD
05
—
47526
—
NE
05
—
PO08936
—
SD
05
—
RN9197861
—
FL
05
—
RO281173
—
SD
05
—
RO402267
—
SD
05
—
RO43498
—
SD
Enumeration date
03/04/2016
Last updated
03/04/2016
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