| NPI | 1558335349 |
|---|---|
| Doing Business As | FAMILY HEALTH CENTER OF EAGLE BUTTE |
| Entity Type | Organization |
| Authorized Contact | JOHN MENGENHAUSEN Chief Executive Officer 605-772-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2017-02-06 |