Prairie Community Health, Inc.

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

Legal business name

PRAIRIE COMMUNITY HEALTH, INC.

Doing business as

Eagle Butte Schools

Practice address

2006 Main Street
Eagle Butte, SD 57625

Phone

(605) 964-7920

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Billie Rae Person

Title

Director of Operations

Phone

(605) 466-2120

Specialties & licenses 1

Addresses

Other names 1

• Eagle Butte Schools Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1437221504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "576330097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MAIN STREET",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "57625",
            "telephone_number": "605-964-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "PERSON",
        "authorized_official_first_name": "BILLIE RAE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "605-466-2120"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, School",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Butte Schools",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wakiyan Peta, LAC
• Amalia Marie Petersen, RN
• Lethi Bui Pham, RPH
• Ylien Phung
• Ellen Pietsch
• Sheri Michele Printz, PHARMD
• Cristian Raether
• Jessica Rank, PH.D.
• Cynthia Raymore
• Kathleen Ione Red Dog

• Nurse Practitioner in Eagle Butte, SD
• Providers in Eagle Butte, SD by specialty
• Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.