MEDICARE: NORTHWESTERN AREA SCHOOL DISTRICT 56-7

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	5152070	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275730996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWESTERN AREA SCHOOL DISTRICT 56-7

Provider Business Mailing Address
First Line	:	221 3RD SCHOOL ST
Second Line	:
City	:	MELLETTE
State	:	SD
Zip	:	57461
Country	:	US
Telephone Number	:	605-887-3467
Fax Number	:	605-887-3101

Provider Business Practice Location Address
First Line	:	221 3RD SCHOOL ST
Second Line	:
City	:	MELLETTE
State	:	SD
Zip	:	57461
Country	:	US
Telephone Number	:	605-887-3467
Fax Number	:	605-887-3101

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	LISA S FRERICKS
Credential	:
Telephone Number	:	605-887-3467

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1215300066 — DR. DARREN JILEK PH.D.
Practice Location Address:

39218 PRAIRIE RD
MELLETTE, SD
57461-5206

Practice Phone: 605-228-4877
Practice Fax:

1760207005 — DARREN JILEK PHD LICENSED PSYCHOLOGIST
Practice Location Address:

634 S ROOSEVELT ST STE 4
ABERDEEN, SD
57401-6593

Practice Phone: 605-228-4877
Practice Fax: 605-305-3604

1710980081 — BRADDOCK MEDICAL GROUP P.A.
Practice Location Address:

912 SETON DR
CUMBERLAND, MD
21502-1818

Practice Phone: 301-722-3111
Practice Fax: 301-722-5135

1225041213 — SUMMIT HEALTH INC.
Practice Location Address:

27175 HAGGERTY RD
NOVI, MI
48377-3626

Practice Phone: 248-799-8303
Practice Fax: 248-799-8927

1518076439 — MARIE YOLENE FERVIL MD
Practice Location Address:

1101 MEDICAL CENTER BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1366679789 — CARISSE CORNS DDS
Practice Location Address:

1111 CUMBERLAND XING
VALPARAISO, IN
46383-2356

Practice Phone: 219-286-6148
Practice Fax: 219-286-6149

Directions to “NORTHWESTERN AREA SCHOOL DISTRICT 56-7 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.