Provider Demographics
NPI:1598833360
Name:TODD COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TODD COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCEPTIONAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBERA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-856-2626
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:SD
Mailing Address - Zip Code:57555-0519
Mailing Address - Country:US
Mailing Address - Phone:605-856-2626
Mailing Address - Fax:605-856-4223
Practice Address - Street 1:815 AVENUE D
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:SD
Practice Address - Zip Code:57555
Practice Address - Country:US
Practice Address - Phone:605-856-2626
Practice Address - Fax:605-856-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5150693251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150693Medicaid