Provider Demographics
NPI:1063588432
Name:ALCESTER HUDSON SCHOOL DISTRICT
Entity type:Organization
Organization Name:ALCESTER HUDSON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT ELEMENTARY PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOACHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-934-1890
Mailing Address - Street 1:PO BOX 198
Mailing Address - Street 2:
Mailing Address - City:ALCESTER
Mailing Address - State:SD
Mailing Address - Zip Code:57001
Mailing Address - Country:US
Mailing Address - Phone:605-934-1890
Mailing Address - Fax:605-934-1936
Practice Address - Street 1:102 EAST 5TH STREET
Practice Address - Street 2:
Practice Address - City:ALCESTER
Practice Address - State:SD
Practice Address - Zip Code:57001
Practice Address - Country:US
Practice Address - Phone:605-934-1890
Practice Address - Fax:605-934-1936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
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
SD5150020Medicaid