Provider Demographics
NPI:1952487811
Name:BALTIC SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BALTIC SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:REGENE
Authorized Official - Last Name:FERSDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-529-5464
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:BALTIC
Mailing Address - State:SD
Mailing Address - Zip Code:57003-0309
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 BULLDOG AVENUE
Practice Address - Street 2:
Practice Address - City:BALTIC
Practice Address - State:SD
Practice Address - Zip Code:57003-0309
Practice Address - Country:US
Practice Address - Phone:605-529-5464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5152010251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)