Provider Demographics
NPI:1912206442
Name:SIOUX CENTRAL COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SIOUX CENTRAL COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-283-2571
Mailing Address - Street 1:4440 US HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:SIOUX RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:50585-2030
Mailing Address - Country:US
Mailing Address - Phone:712-283-2571
Mailing Address - Fax:712-283-2285
Practice Address - Street 1:4440 US HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:SIOUX RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:50585-2030
Practice Address - Country:US
Practice Address - Phone:712-283-2571
Practice Address - Fax:712-283-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0207702Medicaid