Provider Demographics
NPI:1104901693
Name:EDGEMONT SCHOOL DISTRICT 23-1
Entity type:Organization
Organization Name:EDGEMONT SCHOOL DISTRICT 23-1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-662-7254
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:EDGEMONT
Mailing Address - State:SD
Mailing Address - Zip Code:57735-0029
Mailing Address - Country:US
Mailing Address - Phone:605-662-7721
Mailing Address - Fax:
Practice Address - Street 1:715 D STREET
Practice Address - Street 2:
Practice Address - City:EDGEMONT
Practice Address - State:SD
Practice Address - Zip Code:57735-0029
Practice Address - Country:US
Practice Address - Phone:605-662-7254
Practice Address - Fax:605-662-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150970OtherPROVIDER NO