Provider Demographics
NPI:1144307885
Name:BOWDLE SCHOOL 22-1
Entity type:Organization
Organization Name:BOWDLE SCHOOL 22-1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-285-6272
Mailing Address - Street 1:PO BOX 563
Mailing Address - Street 2:
Mailing Address - City:BOWDLE
Mailing Address - State:SD
Mailing Address - Zip Code:57428-0563
Mailing Address - Country:US
Mailing Address - Phone:605-285-6272
Mailing Address - Fax:605-285-6830
Practice Address - Street 1:3083 2ND AVE.
Practice Address - Street 2:
Practice Address - City:BOWDLE
Practice Address - State:SD
Practice Address - Zip Code:57428-0563
Practice Address - Country:US
Practice Address - Phone:605-285-6272
Practice Address - Fax:605-285-6830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDNO251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5150870Medicaid