Organization
PRAIRIE COMMUNITY HEALTH, INC.
Active
Other names
Eagle Butte Schools
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE RAE PERSON (DIRECTOR OF OPERATIONS)
(605) 466-2120
Entity
Organization
Contact information
Practice address
2006 MAIN STREET, EAGLE BUTTE, SD 57625
(605) 964-7920
Mailing address
PO BOX 97, ISABEL, SD 57633-0097
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
—
SD
Other
Enumeration date
11/14/2006
Last updated
10/11/2007
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