Lower Brule Health Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

04161983 Issued in SD

Legal business name

LOWER BRULE HEALTH CENTER

Practice address

601 Gall Street
Lower Brule, SD 57548-0247

Phone

(605) 473-5526

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Georgia Amiotte

Title

Ceo

Phone

(605) 473-5526

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lower Brule HLTH Ctr IHS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lower Brule IHS Clinic Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Lower Brule, SD
  • NPI 1184753147
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033238498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "address_2": "601 GALL STREET",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575480247",
            "telephone_number": "605-473-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GALL STREET",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575480247",
            "telephone_number": "605-473-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER BRULE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIOTTE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-473-5526",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SD",
            "license": "04161983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A.S.C.P.",
            "identifier": "04161983",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen H. Grant, M.D.
• Steve Gray, PHARM D, RPH
• Indian Health Services
• Desiree Nolene Laroche, LPN
• Lower Brule Ambulance
• Lower Brule Health Center IHS
• Lower Brule IHS Clinic Pharmacy
• Lower Brule Mental Health
• Lower Brule Sioux Tribe (Lower Brule Counseling Service)
• Lower Brule Sioux Tribe (Lower Brule Tribal School)

• Clinical Medical Laboratory in Lower Brule, SD
• Providers in Lower Brule, SD by specialty
• Clinical Medical Laboratory in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.