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NPI Code Detail

MEDICARE: CUSTER SCHOOL DISTRICT

MEDICARE: CUSTER SCHOOL DISTRICT
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)5150520SD

General Provider Information

NPI Number : 1982788550
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUSTER SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 147 N 5TH ST
Second Line :
City : CUSTER
State : SD
Zip : 57730-1528
Country : US
Telephone Number : 605-673-3154
Fax Number :
Provider Business Practice Location Address
First Line : 147 N 5TH ST
Second Line :
City : CUSTER
State : SD
Zip : 57730-1528
Country : US
Telephone Number : 605-673-3154
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : TIMOTHY H. CREAL
Credential :
Telephone Number : 605-673-3154
Provider Enumeration Date : 10/24/2006
Last Update Date : 08/22/2020

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Directions to “CUSTER SCHOOL DISTRICT ” Practice Location

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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.

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