Organization
INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA WATT (DIRECTOR OF NURSING)
(605) 964-3004
Entity
Organization
Contact information
Practice address
317 MAIN ST, EAGLE BUTTE, SD 57625-0317
(605) 964-3007
Mailing address
317 MAIN ST, EAGLE BUTTE, SD 57625-0317
(605) 964-3007
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
R031469
SD
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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