| Organization Name: | EAGLE BUTTE INDIAN HEALTH SERVICE |
| NPI Number: | 1063630853 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUNICE ROSE HOLLOW HORN (REGISTERED NURSE) |
| Mailing Address: | 330 Maple Street 326 Eagle Butte |
| State: | SD US |
| Postal Code: | 576251012 |
| Phone Number: | 6059642653 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | RO28233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |