Eagle Butte Indian Health Service Hospital

LBN: Eagle Butte Indian Health Service Hospital
Eagle Butte Indian Health Service Hospital is an health care organization with primary practice located at 24276 166Th Street Airport Road, Eagle Butte SD 57625-1012. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Eagle Butte Indian Health Service Hospital can be contacted via phone (605) 964-7724, or through Keckler, Justin J via phone (605) 964-7724.

Contact Information

Primary practice address
24276 166Th Street Airport Road Eagle Butte SD 57625-1012
Phone: (605) 964-7724
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keckler, Justin J
Phone: (605) 964-7724

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1558395848
LBN Legal business name Eagle Butte Indian Health Service Hospital
DBA Doing business as
Authorized official Keckler, Justin J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 21st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558395848 NPPES
South Dakota MEDICAID 5549080

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