| Organization Name: | ROSEBUD INDIAN HEALTH SERVICE HOSPITAL |
| NPI Number: | 1275802241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YVONNE REYNOLDS (CREDENTIALING COORDINATOR) |
| Mailing Address: | 400 Soldier Creek Rd Rosebud |
| State: | SD US |
| Postal Code: | 575700400 |
| Phone Number: | 6057473245 |
| Fax Number: | 6057475348 |
| NPI Enumeration Date: | 12/21/2011 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | F335136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |