Lower Brule Ambulance

NPI #1710946348 in Lower Brule, South Dakota

Provider Information

NPI Number: 1710946348
Entity Type: Organization
Organization Name: Lower Brule Ambulance
Primary Specialty: Ambulance
Enumeration Date: Mar 22, 2006
Last Updated: Mar 28, 2008

Practice Location

Address: BIA ROUTE 3
City: Lower Brule
State: South Dakota
ZIP Code: 57548-0817
Phone: (605) 473-5293

Authorized Official

Name: MR. OTIS BRENT DOREN
Title: PROGRAM DIRECTOR
Phone: (605) 473-5293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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