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NPI Code Detail

MEDICARE: PARKER SCHOOL 60-4

MEDICARE: PARKER SCHOOL 60-4
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
1251300000XLocal Education Agency (LEA)SD

Other Identifiers

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

General Provider Information

NPI Number : 1326123407
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKER SCHOOL 60-4
Provider Business Mailing Address
First Line : 715 E 14TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-5151
Country : US
Telephone Number : 605-271-0218
Fax Number : 605-271-0220
Provider Business Practice Location Address
First Line : 715 E 14TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-5151
Country : US
Telephone Number : 605-271-0218
Fax Number : 605-271-0220
Authorized Official
Title or Position : MEDICAID BILLING AGENT
Name : MRS. VI ENGBRECHT
Credential :
Telephone Number : 605-271-0218
Provider Enumeration Date : 10/26/2006
Last Update Date : 09/09/2011

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Directions to “PARKER SCHOOL 60-4 ” Practice Location

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