Organization Active NPI

Lower Brule Sioux Tribe

Doing business as CHR Program Lower Brule

  • Non-emergency Medical Transport (VAN)
  • Lower Brule, SD
National Provider Identifier
1760670525
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LOWER BRULE SIOUX TRIBE
Doing business as
CHR Program Lower Brule
Practice address
187 Oyate Cir
Lower Brule, SD 57548-8500
Phone
(605) 473-8000
Fax
(605) 473-5693
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LOWER BRULE SIOUX TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Mrs. Shirley Crane
Title
Director
Phone
(605) 473-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X SD Primary

Addresses

Primary practice location

187 Oyate Cir
Lower Brule, SD 57548-8500

Mailing address

187 Oyate Cir
Lower Brule, SD 57548-8500
Phone (605) 473-8000

Other identifiers 1

IdentifierTypeStateIssuer
9515200MedicaidSD

Other names 1

  • CHR Program Lower Brule Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lower Brule Sioux Tribe7 organizations share this tax ID, including this one
Part of
Lower Brule Sioux Tribe

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1760670525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 OYATE CIR",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575488500",
            "telephone_number": "605-473-8000",
            "fax_number": "605-473-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 OYATE CIR",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575488500",
            "telephone_number": "605-473-8000",
            "fax_number": "605-473-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER BRULE SIOUX TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER BRULE SIOUX TRIBE",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-473-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9515200",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHR Program Lower Brule",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lower Brule, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.