Provider Demographics
NPI:1548336860
Name:PIERRE SCHOOL DISTRICT
Entity type:Organization
Organization Name:PIERRE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF SPEC ED & LITERACY PROGRAM
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:CHAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-773-7300
Mailing Address - Street 1:211 S POPLAR AVENUE
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-1850
Mailing Address - Country:US
Mailing Address - Phone:605-773-7300
Mailing Address - Fax:605-773-7304
Practice Address - Street 1:211 S POPLAR AVENUE
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-1850
Practice Address - Country:US
Practice Address - Phone:605-773-7300
Practice Address - Fax:605-773-7304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5152350Medicaid