Provider Demographics
NPI:1417081258
Name:FREDERICK AREA SCHOOL DISTRICT #6-2
Entity Type:Organization
Organization Name:FREDERICK AREA SCHOOL DISTRICT #6-2
Other - Org Name:ELM VALLEY SCHOOL DISTRICT #6-2
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARONDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-329-2355
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:SD
Mailing Address - Zip Code:57441-0486
Mailing Address - Country:US
Mailing Address - Phone:605-329-2355
Mailing Address - Fax:605-329-2722
Practice Address - Street 1:202 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:SD
Practice Address - Zip Code:57441
Practice Address - Country:US
Practice Address - Phone:605-329-2355
Practice Address - Fax:605-329-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150940Medicaid