Provider Demographics
NPI:1447323217
Name:LOWER BRULE SIOUX TRIBE
Entity type:Organization
Organization Name:LOWER BRULE SIOUX TRIBE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SELCHERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-473-0216
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:100 CRAZY HORSE DRIVE
Mailing Address - City:LOWER BRULE
Mailing Address - State:SD
Mailing Address - Zip Code:57548-0245
Mailing Address - Country:US
Mailing Address - Phone:605-473-0216
Mailing Address - Fax:605-473-0217
Practice Address - Street 1:100 CRAZY HORSE DRIVE
Practice Address - Street 2:
Practice Address - City:LOWER BRULE
Practice Address - State:SD
Practice Address - Zip Code:57548-0245
Practice Address - Country:US
Practice Address - Phone:605-473-0216
Practice Address - Fax:605-473-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)