Deuel School District 19-4

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DEUEL SCHOOL DISTRICT 19-4

Practice address

410 5TH Street West
Clear Lake, SD 57226-0700

Phone

(605) 874-2161

Fax

(605) 874-8585

NPI assigned

Sep 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Blaine A Franken

Title

Business Manager

Phone

(605) 874-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1104012376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572260770",
            "telephone_number": "605-874-2161",
            "fax_number": "605-874-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 5TH STREET WEST",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572260700",
            "telephone_number": "605-874-2161",
            "fax_number": "605-874-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEUEL SCHOOL DISTRICT 19-4",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "FRANKEN",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-874-2161"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515-0350",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicole Bruening, PA-C
• David W. Bursack, DNP-FNP
• Timothy B. Cass, RPT
• Clear Lake Dental LLC
• Deuel County Ambulance Inc
• Haley Rose Donahue
• Embrace Clear Lake LLC
• Kristin Marie Goehring, PHARMD
• Tanya Marie Gruntmeir, PHARMD
• Breanne Hojer, PHARMD

• All providers in Clear Lake, SD
• Local Education Agency (LEA) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.