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LOWER BRULE SIOUX TRIBE NPI 1952599714


NPI Information

NPI: 1952599714
Provider Name: LOWER BRULE SIOUX TRIBE

Other Name: LOWER BRULE PATIENT TRANSPORT

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
187 OYATE CIRCLE
LOWER BRULE, SD
ZIP 57548
Phone: (605) 473-5694
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LOWER BRULE SIOUX TRIBE is a non emergency medical transport van in Lower Brule, SD. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. LOWER BRULE SIOUX TRIBE NPI is 1952599714. The provider is registered as an organization entity type.
The provider Other Name Is Lower Brule Patient Transport.

The provider's business location address is:

187 OYATE CIRCLE
LOWER BRULE, SD
ZIP 57548
Phone: (605) 473-5694
Fax: (605) 473-5693

The provider's authorized official is Joseph N. Abdo .
The authorized official title is Patient Transport Director and has the following contact phone number (605) 473-5694.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 5/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19515080MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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