Provider Demographics
NPI:1063695625
Name:SUMMIT SCHOOL DIST 54 6
Entity type:Organization
Organization Name:SUMMIT SCHOOL DIST 54 6
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-398-6211
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:400 SHERMAN AVE W
Mailing Address - City:SUMMIT
Mailing Address - State:SD
Mailing Address - Zip Code:57266-0791
Mailing Address - Country:US
Mailing Address - Phone:605-398-6211
Mailing Address - Fax:605-398-6311
Practice Address - Street 1:400 SHERMAN AVE W
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:SD
Practice Address - Zip Code:57266-0791
Practice Address - Country:US
Practice Address - Phone:605-398-6211
Practice Address - Fax:605-398-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150450Medicaid