| Organization Name: | INDIAN HEALTH SERVICE |
| NPI Number: | 1053653667 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA M MARCUS (NURSING SECRETARY) |
| Mailing Address: | 26045 U.s. Hwy 18 Rosebud |
| State: | SD US |
| Postal Code: | 575700400 |
| Phone Number: | 6057472231 |
| Fax Number: | 6057472216 |
| NPI Enumeration Date: | 03/21/2013 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | RO28173 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |