# LOWER BRULE SIOUX TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOWER BRULE AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679742639
- **Authorized official:** MR. JOE ABDO (DIRECTOR)
- **Authorized official phone:** (605) 473-5293

## Contact information

- **Practice address:** 187 OYATE CIR, LOWER BRULE, SD 57548-8500
- **Practice address phone:** (605) 473-5293
- **Practice address fax:** (605) 473-1058
- **Mailing address:** 187 OYATE CIR, LOWER BRULE, SD 57548-8500
- **Mailing address phone:** (605) 473-5293
- **Mailing address fax:** (605) 473-1058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0451 | SD | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 0451 | SD | — |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 10/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9002150 | — | SD |