Provider Demographics
NPI:1295906998
Name:WINNER SCHOOL DISTRICT
Entity type:Organization
Organization Name:WINNER SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUCHENEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-842-8101
Mailing Address - Street 1:431 E 7TH ST
Mailing Address - Street 2:PO BOX 231
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-2500
Mailing Address - Country:US
Mailing Address - Phone:605-842-8101
Mailing Address - Fax:605-842-8120
Practice Address - Street 1:431 E 7TH ST
Practice Address - Street 2:
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-2500
Practice Address - Country:US
Practice Address - Phone:605-842-8101
Practice Address - Fax:605-842-8120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150590Medicaid