Provider Demographics
NPI:1104066760
Name:ANDES CENTRAL SCHOOL DISTRICT 11-1
Entity type:Organization
Organization Name:ANDES CENTRAL SCHOOL DISTRICT 11-1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:V
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-487-7671
Mailing Address - Street 1:P.O. BOX 40
Mailing Address - Street 2:400 SCHOOL STREET
Mailing Address - City:LAKE ANDES
Mailing Address - State:SD
Mailing Address - Zip Code:57356-0040
Mailing Address - Country:US
Mailing Address - Phone:605-487-7671
Mailing Address - Fax:605-487-7051
Practice Address - Street 1:400 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:LAKE ANDES
Practice Address - State:SD
Practice Address - Zip Code:57356-0040
Practice Address - Country:US
Practice Address - Phone:605-487-7671
Practice Address - Fax:605-487-7051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)