Provider Demographics
NPI:1417170697
Name:TRI-VALLEY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TRI-VALLEY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ECKSTAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-543-5500
Mailing Address - Street 1:46450 252ND ST
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:SD
Mailing Address - Zip Code:57018-5712
Mailing Address - Country:US
Mailing Address - Phone:605-543-5500
Mailing Address - Fax:605-446-3520
Practice Address - Street 1:46450 252ND ST
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:SD
Practice Address - Zip Code:57018-5712
Practice Address - Country:US
Practice Address - Phone:605-543-5500
Practice Address - Fax:605-446-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
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
SD5152413Medicaid