Healthcare Provider Details

I. General information

NPI: 1063588432
Provider Name (Legal Business Name): ALCESTER HUDSON SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 EAST 5TH STREET
ALCESTER SD
57001
US

IV. Provider business mailing address

PO BOX 198
ALCESTER SD
57001
US

V. Phone/Fax

Practice location:
  • Phone: 605-934-1890
  • Fax: 605-934-1936
Mailing address:
  • Phone: 605-934-1890
  • Fax: 605-934-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. JERRY L JOACHIM
Title or Position: SUPERINTENDENT ELEMENTARY PRINCIPAL
Credential:
Phone: 605-934-1890