National Provider Identifier Database

EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
Public Health or Welfare


Contact Information

EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
24276 166TH STREET
AIRPORT ROAD
EAGLE BUTTE, SD57625-1012
Phone: 605-964-7724
Fax:
Website:
Specialty Taxonomy Code
* Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL

NPI Number 1558395848
Legal business name
LBN
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
Authorized official JUSTIN KECKLER - (ACTING CEO)
Entity Organization
Organization subpart No
Enumeration date 07/10/2006
Last updated 02/21/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • SD Medicaid: 5549080

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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