Organization
LOWER BRULE SIOUX TRIBE
Active
Other names
LOWER BRULE AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE ABDO (DIRECTOR)
(605) 473-5293
Entity
Organization
Contact information
Practice address
187 OYATE CIR, LOWER BRULE, SD 57548-8500
(605) 473-5293
(605) 473-1058
Mailing address
187 OYATE CIR, LOWER BRULE, SD 57548-8500
(605) 473-5293
(605) 473-1058
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0451
SD
343900000X
Non-emergency Medical Transport (VAN)
0451
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002150
—
SD
Enumeration date
02/25/2008
Last updated
10/10/2013
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