Active NPI
Sacred Heart Center
- Case Management Agency
- Eagle Butte, SD
National Provider Identifier
1356503668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- R86
- Legal business name
- SACRED HEART CENTER
- Practice address
- 121 Landmark Avenue
Eagle Butte, SD 57625-2000 - Phone
- (605) 964-6062
- Fax
- (605) 964-6060
- NPI assigned
- Jun 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kim S Heath
- Title
- Director Outreach Services
- Phone
- (605) 964-6062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | R86 | SD | Primary |
Addresses
Primary practice location
121 Landmark Avenue
Eagle Butte, SD 57625-2000
Mailing address
PO Box 2000
121 Landmark Avenue
Eagle Butte, SD 57625-2000
Phone (605) 964-6062
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1356503668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2000",
"address_2": "121 LANDMARK AVENUE",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "576252000",
"telephone_number": "605-964-6062",
"fax_number": "605-964-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 LANDMARK AVENUE",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "576252000",
"telephone_number": "605-964-6062",
"fax_number": "605-964-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED HEART CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "HEATH",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR OUTREACH SERVICES",
"authorized_official_telephone_number": "605-964-6062",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "SD",
"license": "R86",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Butte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.