Provider Demographics
NPI:1679761068
Name:BRITTON HECLA SCHOOL DIST 45 4
Entity Type:Organization
Organization Name:BRITTON HECLA SCHOOL DIST 45 4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-448-2234
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:BRITTON
Mailing Address - State:SD
Mailing Address - Zip Code:57430-0190
Mailing Address - Country:US
Mailing Address - Phone:605-448-2234
Mailing Address - Fax:605-448-5994
Practice Address - Street 1:759 5TH STREET
Practice Address - Street 2:
Practice Address - City:BRITTON
Practice Address - State:SD
Practice Address - Zip Code:57430-0190
Practice Address - Country:US
Practice Address - Phone:605-448-2234
Practice Address - Fax:605-448-5994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150910Medicaid