South Dakota Medicaid lookup
One provider matched this Medicaid ID.
South Dakota Medicaid ID 5549080 resolves to a single NPI record. Open the full profile for complete detail.
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EB
NPI · 1770610842 · Active
Eagle Butte Ihs Hospital Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Eagle Butte, South Dakota
NPI
1770610842
Medicaid (SD)
5549080
Taxonomy
332800000X
State
South Dakota
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 5549080SD
Other
- 4304933· Issued by NCPDP PROVIDER IDENTIFICATION NUMBER
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.