| Organization Name: | INDIAN HEALTH SERVICE |
| NPI Number: | 1063811354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONNI PEARMAN (ER NURSING SUPERVISOR) |
| Mailing Address: | 24276 Airport Rd Eagle Butte |
| State: | SD US |
| Postal Code: | 57625 |
| Phone Number: | 6059647724 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2014 |
| NPI Last Update Date: | 08/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 70958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |