Organization
IHS EAGLE BUTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN IONE RED DOG R.N. (NURSE)
(605) 848-2396
Entity
Organization
Contact information
Practice address
317 S. MAIN ST., EAGLE BUTTE, SD 57625-1012
(605) 964-2814
Mailing address
PO BOX 64, EAGLE BUTTE, SD 57625
(605) 848-2396
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
R039790
SD
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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