Provider Demographics
NPI:1760604250
Name:DUPREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DUPREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-466-2206
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:ISABEL
Mailing Address - State:SD
Mailing Address - Zip Code:57633
Mailing Address - Country:US
Mailing Address - Phone:605-466-2206
Mailing Address - Fax:605-466-2207
Practice Address - Street 1:503 N MAIN
Practice Address - Street 2:
Practice Address - City:ISABEL
Practice Address - State:SD
Practice Address - Zip Code:57633
Practice Address - Country:US
Practice Address - Phone:605-466-2206
Practice Address - Fax:605-466-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD97799Medicaid
SDW4510Medicaid
SD90899Medicaid
SD92507Medicaid