Provider Demographics
NPI:1972675239
Name:IRENE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:IRENE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:RUDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-263-3311
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:IRENE
Mailing Address - State:SD
Mailing Address - Zip Code:57037
Mailing Address - Country:US
Mailing Address - Phone:605-263-3313
Mailing Address - Fax:605-263-3316
Practice Address - Street 1:120 E STATE STREET
Practice Address - Street 2:
Practice Address - City:IRENE
Practice Address - State:SD
Practice Address - Zip Code:57037
Practice Address - Country:US
Practice Address - Phone:605-263-3313
Practice Address - Fax:605-263-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150140Medicaid