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Organization

INDIAN HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK SINGLETON (CLINICAL DIRECTOR)
(605) 964-3007
Entity
Organization

Contact information

Practice address
IHS MAIN ST, EAGLE BUTTE, SD 57625
(605) 964-3007
Mailing address
PO BOX 241, RIDGEVIEW, SD 57652-0241
(605) 733-2443

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
R035042
SD

Other

Enumeration date
04/24/2007
Last updated
06/20/2008
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