Lower Brule Health Center

NPI 1033238498 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1033238498
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEORGIA GEORGIA
Position CEO
Phone (605) 473-5526
Fax
Practice Location
601 GALL STREET
LOWER BRULE SD, 57548-0247, US
Phone (605) 473-5526
Fax
Business Location
PO BOX 247
601 GALL STREET
LOWER BRULE SD, 57548-0247, US
Phone (605) 473-5526
Fax
Toxanomy
Taxonomy Code 291U00000X
License State South Dakota
License Number 04161983
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According to our database, Lower Brule Health Center NPI is 1033238498, taxonomy code is 291U00000X and license number is 04161983, license state is located at South Dakota. Lower Brule Health Center physically located at 601 Gall Street, Lower Brule SD, 57548-0247. NPI Number 1033115704 has the healthcare provider type.

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1033238498 NPI number is provided on an as is basis without warranty of any kind. 1033238498 is maintained by the National Plan & Provider Enumeration System. The contents of Lower Brule Health Center are for informational purposes only.