Organization

Lower Brule Health Center Ihs

May also be knows as Lower Brule Indian Health Service

Clinic/Center in Lower Brule, SD(View on Map)

Legal Business Name

Lower Brule Health Center Ihs

Also Known As

Lower Brule Indian Health Service

NPI Number

1881719425

NPI Type

Organization

Enumeration Date

03/20/2007

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 248
601 GALL STREET

City

Lower Brule
Lower Brule

State

SD
SD

Postal Code

57548-0248
57548-0248

Country

US
US

Telephone Number

(605) 473-5526
(605) 473-5526

Authorized Official

Name

Eyvonne Rekow

Title or Position

CHIEF EXECUTIVE OFFICER

Telephone Number

(605) 473-5526

Identifiers

Identifier

4304882
5549020
HSZ133

Identifier State

SD
SD
SD

Identifier Issuer

NABP
Unknown
MEDICARE INDENTIFIER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/22/2016

Provider Address