Provider Demographics
NPI:1699927806
Name:FAULKTON AREA SCHOOLS DISTRICT 24 4
Entity type:Organization
Organization Name:FAULKTON AREA SCHOOLS DISTRICT 24 4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ELEMENTARY PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KNECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MA EDUCATION
Authorized Official - Phone:605-598-6266
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:1114 COURT STREET
Mailing Address - City:FAULKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57438-0308
Mailing Address - Country:US
Mailing Address - Phone:605-598-6266
Mailing Address - Fax:605-598-6666
Practice Address - Street 1:1114 COURT STREET
Practice Address - Street 2:
Practice Address - City:FAULKTON
Practice Address - State:SD
Practice Address - Zip Code:57438-0308
Practice Address - Country:US
Practice Address - Phone:605-598-6266
Practice Address - Fax:605-598-6666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5152570Medicaid