Provider Demographics
NPI:1073184487
Name:NORTHEAST EDUCATIONAL SERVICES COOP
Entity Type:Organization
Organization Name:NORTHEAST EDUCATIONAL SERVICES COOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NESC MEDICAID BILLING
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:REUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-783-3607
Mailing Address - Street 1:402 DISCOVERY ST
Mailing Address - Street 2:
Mailing Address - City:COLMAN
Mailing Address - State:SD
Mailing Address - Zip Code:57017-2030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:508 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:SD
Practice Address - Zip Code:57026-7726
Practice Address - Country:US
Practice Address - Phone:605-542-2541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)