Provider Demographics
NPI:1790971042
Name:WEBSTER SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WEBSTER SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:J
Authorized Official - Last Name:OFARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-345-3548
Mailing Address - Street 1:102 E 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:SD
Mailing Address - Zip Code:57274
Mailing Address - Country:US
Mailing Address - Phone:605-345-3548
Mailing Address - Fax:605-345-4421
Practice Address - Street 1:102 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:SD
Practice Address - Zip Code:57274
Practice Address - Country:US
Practice Address - Phone:605-345-3548
Practice Address - Fax:605-345-4421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150790Medicaid