Healthcare Provider Details

I. General information

NPI: 1184886046
Provider Name (Legal Business Name): LEOLA SCHOOL DISTRICT 44-2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 LEOLA AVE
LEOLA SD
57456-0350
US

IV. Provider business mailing address

PO BOX 350 820 LEOLA AVE
LEOLA SD
57456-0350
US

V. Phone/Fax

Practice location:
  • Phone: 605-439-3143
  • Fax: 605-439-3206
Mailing address:
  • Phone: 605-439-3143
  • Fax: 605-439-3206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBRA J WEISZHAAR
Title or Position: BUSINESS MANAGER
Credential:
Phone: 605-439-3143