1194757369 NPI number — ROSEBUD INDIAN HEALTH SERVICE

Table of content: (NPI 1194757369)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194757369 NPI number — ROSEBUD INDIAN HEALTH SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROSEBUD INDIAN HEALTH SERVICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ROSEBUD INDIAN HEALTH SERVICE HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194757369
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 SOLDIER CREEK ROAD
Provider Second Line Business Mailing Address:
PO BOX 400
Provider Business Mailing Address City Name:
ROSEBUD
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57570-0400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-747-2231
Provider Business Mailing Address Fax Number:
605-747-2216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 SOLDIER CREEK ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSEBUD
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57570-0400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-747-3245
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOPKINS
Authorized Official First Name:
SHANNON
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE OFFICER
Authorized Official Telephone Number:
605-747-2231

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0140080 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5549520 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5549093 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5540080 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".




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