Provider Demographics
NPI:1487029963
Name:CORSICA-STICKNEY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CORSICA-STICKNEY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MUCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-946-5475
Mailing Address - Street 1:120 S NAPOLEON AVE
Mailing Address - Street 2:
Mailing Address - City:CORSICA
Mailing Address - State:SD
Mailing Address - Zip Code:57328-2270
Mailing Address - Country:US
Mailing Address - Phone:605-946-5475
Mailing Address - Fax:605-946-5607
Practice Address - Street 1:120 S NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:CORSICA
Practice Address - State:SD
Practice Address - Zip Code:57328-2270
Practice Address - Country:US
Practice Address - Phone:605-946-5475
Practice Address - Fax:605-946-5607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No252Y00000XAgenciesEarly Intervention Provider Agency