Organization Active NPI

Avon School District

  • Children's Rehabilitation Hospital
  • Avon, SD
National Provider Identifier
1124210935
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
Legal business name
AVON SCHOOL DISTRICT
Practice address
210 Pine Street
Avon, SD 57315-0407
Phone
(605) 286-3291
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Mr. Jay Weber
Title
Business Manager
Phone
(605) 286-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Rehabilitation Hospital 283XC2000X SD Primary

Addresses

Primary practice location

210 Pine Street
Avon, SD 57315-0407

Mailing address

210 Pine Street
Avon, SD 57315-0407
Phone (605) 286-3291

Other identifiers 1

IdentifierTypeStateIssuer
5150040MedicaidSD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1124210935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PINE STREET",
            "city": "AVON",
            "state": "SD",
            "postal_code": "573150407",
            "telephone_number": "605-286-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PINE STREET",
            "city": "AVON",
            "state": "SD",
            "postal_code": "573150407",
            "telephone_number": "605-286-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-286-3291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5150040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.