Provider Demographics
NPI:1609942077
Name:WAKONDA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WAKONDA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER WAKONDA SCHOOL DIS
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-267-2644
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:WAKONDA
Mailing Address - State:SD
Mailing Address - Zip Code:57073
Mailing Address - Country:US
Mailing Address - Phone:605-267-2644
Mailing Address - Fax:605-267-2645
Practice Address - Street 1:202 NEBRASKA STREET
Practice Address - Street 2:
Practice Address - City:WAKONDA
Practice Address - State:SD
Practice Address - Zip Code:57073
Practice Address - Country:US
Practice Address - Phone:605-267-2644
Practice Address - Fax:605-267-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
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
SD5150130Medicaid