Provider Demographics
NPI:1194801449
Name:HILL CITY SCHOOL DISTRICT 51-2
Entity type:Organization
Organization Name:HILL CITY SCHOOL DISTRICT 51-2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAUGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-574-3030
Mailing Address - Street 1:PO BOX 659
Mailing Address - Street 2:
Mailing Address - City:HILL CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57745-0659
Mailing Address - Country:US
Mailing Address - Phone:605-574-3030
Mailing Address - Fax:605-574-3031
Practice Address - Street 1:341 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:SD
Practice Address - Zip Code:57745
Practice Address - Country:US
Practice Address - Phone:605-574-3030
Practice Address - Fax:605-574-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5152310251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5152310Medicaid