Organization
ROSEBUD IHS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M MARCUS (NURSING SECRETARY)
(605) 747-2231
Entity
Organization
Contact information
Practice address
BIA SOLDIER CREEK ROAD, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Mailing address
26045 U.S. HWY 18, 901 WEST B.I.A RT. 1, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
R039288
SD
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
R041141
SD
313M00000X
Nursing Facility/Intermediate Care Facility
R202324-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R039288
CLINICAL NURSE
SD
01
—
R039788
CLINICAL NURSE
CA
01
—
R041141
CLINICAL NURSE
SD
01
—
R202324-7
CLINICAL NURSE
MN
Enumeration date
12/07/2012
Last updated
12/07/2012
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