Provider Demographics
NPI:1750617569
Name:LANGFORD SCHOOL DISTRICT
Entity type:Organization
Organization Name:LANGFORD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-493-6454
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:LANGFORD
Mailing Address - State:SD
Mailing Address - Zip Code:57454-0127
Mailing Address - Country:US
Mailing Address - Phone:605-493-6454
Mailing Address - Fax:605-493-6447
Practice Address - Street 1:206 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LANGFORD
Practice Address - State:SD
Practice Address - Zip Code:57454-0127
Practice Address - Country:US
Practice Address - Phone:605-493-6454
Practice Address - Fax:605-493-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150950Medicaid