Organization Active NPI

Indian Health Service

  • Rural Acute Care Hospital
  • Eagle Butte, SD
National Provider Identifier
1881844728
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
R031469 Issued in SD
Legal business name
INDIAN HEALTH SERVICE
Practice address
317 Main St
Eagle Butte, SD 57625-0317
Phone
(605) 964-3007
NPI assigned
Sep 29, 2008
Last updated
Sep 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Johanna Watt
Title
Director of Nursing
Phone
(605) 964-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X R031469 SD Primary

Addresses

Primary practice location

317 Main St
Eagle Butte, SD 57625-0317

Mailing address

317 Main St
Eagle Butte, SD 57625-0317
Phone (605) 964-3007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1881844728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MAIN ST",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250317",
            "telephone_number": "605-964-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MAIN ST",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250317",
            "telephone_number": "605-964-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "605-964-3004"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "SD",
            "license": "R031469",
            "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 Sep 29, 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.

Verify at the official NPI Registry.