Provider Demographics
NPI:1386717619
Name:WARNER SCHOOL DIST 6-5
Entity type:Organization
Organization Name:WARNER SCHOOL DIST 6-5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-225-6397
Mailing Address - Street 1:110 1ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:WARNER
Mailing Address - State:SD
Mailing Address - Zip Code:57479-0020
Mailing Address - Country:US
Mailing Address - Phone:605-225-6397
Mailing Address - Fax:605-225-0007
Practice Address - Street 1:110 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:WARNER
Practice Address - State:SD
Practice Address - Zip Code:57479-0020
Practice Address - Country:US
Practice Address - Phone:605-225-6397
Practice Address - Fax:605-225-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5151050251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5151050Medicaid