EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
NPI 1558395848
Public Health or Welfare in Eagle Butte, SD
About Eagle Butte Indian Health Service Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL (NPI 1558395848) is a healthcare organization registered as a public health or welfare in Eagle Butte, South Dakota and active in the NPI registry since July 2006. The organization lists Justin J Keckler, Acting Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eagle Butte Indian Health Service Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
280Medicare enrollment records show 280 clinicians reassign Medicare billing to Eagle Butte Indian Health Service Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 280Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eagle Butte Indian Health Service Hospital's NPI number?
The NPI number for Eagle Butte Indian Health Service Hospital is 1558395848. It was assigned to this organization in the NPPES registry on July 10, 2006.
Where is Eagle Butte Indian Health Service Hospital located?
Eagle Butte Indian Health Service Hospital is located at 24276 166th Street Airport Road, Eagle Butte, SD 57625. The listed phone number is (605) 964-7724.
What is Eagle Butte Indian Health Service Hospital's specialty?
The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.
Is Eagle Butte Indian Health Service Hospital enrolled in Medicare?
Yes. Eagle Butte Indian Health Service Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eagle Butte Indian Health Service Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 280 clinicians in 22 Medicare specialties reassign their Medicare billing to Eagle Butte Indian Health Service Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (88), Emergency Medicine (59) and Nurse Practitioner (50). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eagle Butte Indian Health Service Hospital was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eagle Butte Indian Health Service Hospital · NPI 1558395848
Public Health or Welfare organization in Eagle Butte, South Dakota. Organization record, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1558395848 (Entity type: Organization)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Organization subpart:** No
- **Authorized official:** Justin Keckler, ACTING CEO
## Practice location
- **Address:** 24276 166TH STREET, AIRPORT ROAD, Eagle Butte, SD 57625-1012
- **Phone:** (605) 964-7724
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 280 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (88), Emergency Medicine (59), Nurse Practitioner (50); 4 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1558395848/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2012
- **Other identifiers:** Medicare UPIN PHS000; Medicaid 5549080 (SD); Medicare PIN HSZ039; and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1558395848) · Data from the CMS NPPES public registry.