# LOWER BRULE HEALTH CENTER IHS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lower Brule Indian Health Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881719425
- **Authorized official:** EYVONNE T REKOW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (605) 473-5526

## Contact information

- **Practice address:** 601 GALL STREET, LOWER BRULE, SD 57548-0248
- **Practice address phone:** (605) 473-5526
- **Practice address fax:** (605) 473-0828
- **Mailing address:** PO BOX 248, 601 GALL STREET, LOWER BRULE, SD 57548-0248
- **Mailing address phone:** (605) 473-5526
- **Mailing address fax:** (605) 473-0828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | SD | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 12/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4304882 | NABP | SD |
| 05 | — | 5549020 | — | SD |
| 01 | — | HSZ133 | MEDICARE INDENTIFIER | SD |