Provider Demographics
NPI:1699841064
Name:CANTON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CANTON 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:P
Authorized Official - Last Name:MAIERES
Authorized Official - Suffix:
Authorized Official - Credentials:ED SPEC
Authorized Official - Phone:605-764-2706
Mailing Address - Street 1:800 N MAIN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:SD
Mailing Address - Zip Code:57013
Mailing Address - Country:US
Mailing Address - Phone:605-764-2706
Mailing Address - Fax:605-764-2700
Practice Address - Street 1:800 N MAIN
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:SD
Practice Address - Zip Code:57013
Practice Address - Country:US
Practice Address - Phone:605-764-2706
Practice Address - Fax:605-764-2700
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
SD5150030Medicaid