Provider Demographics
NPI:1821759507
Name:SO SIOUX CITY COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:SO SIOUX CITY COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ECKHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-494-2440
Mailing Address - Street 1:210 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-3740
Mailing Address - Country:US
Mailing Address - Phone:402-494-2440
Mailing Address - Fax:
Practice Address - Street 1:210 W 39TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3740
Practice Address - Country:US
Practice Address - Phone:402-494-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)