Provider Demographics
NPI:1912446204
Name:LOWER SIOUX INDIAN COMMUNITY
Entity Type:Organization
Organization Name:LOWER SIOUX INDIAN COMMUNITY
Other - Org Name:LOWER SIOUX SOCIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MBA, RN
Authorized Official - Phone:507-697-8901
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:39527 RES HWY 1
Mailing Address - City:MORTON
Mailing Address - State:MN
Mailing Address - Zip Code:56270-0308
Mailing Address - Country:US
Mailing Address - Phone:507-697-6185
Mailing Address - Fax:507-697-8619
Practice Address - Street 1:39527 RES HWY 1
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:MN
Practice Address - Zip Code:56270
Practice Address - Country:US
Practice Address - Phone:507-697-6185
Practice Address - Fax:507-697-8916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management