Organization
LOWER BRULE SIOUX TRIBE
Active
Parent organization
LOWER BRULE SIOUX TRIBE
Other names
CHR Program Lower Brule
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOWER BRULE SIOUX TRIBE
Authorized official
MRS. SHIRLEY CRANE (DIRECTOR)
(605) 473-8000
Entity
Organization
Contact information
Practice address
187 OYATE CIR, LOWER BRULE, SD 57548-8500
(605) 473-8000
(605) 473-5693
Mailing address
187 OYATE CIR, LOWER BRULE, SD 57548-8500
(605) 473-8000
(605) 473-5693
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9515200
—
SD
Enumeration date
10/05/2007
Last updated
10/05/2007
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