NPIMap

Organization Active NPI

Southeast Area Cooperative

  • Early Intervention Provider Agency
  • Beresford, SD
National Provider Identifier
1144465154
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SOUTHEAST AREA COOPERATIVE
Practice address
1109 W Cedar St
Beresford, SD 57004-1524
Phone
(605) 763-5096
Fax
(605) 763-2260
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dean R Lindstrom, EDD
Title
Director
Phone
(605) 763-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1109 W Cedar St
Beresford, SD 57004-1524

Mailing address

1109 W Cedar St
Beresford, SD 57004-1524
Phone (605) 763-5096

National Provider Directory

National Provider Directory
Tax ID family
Southeast Area Cooperative2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1144465154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W CEDAR ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041524",
            "telephone_number": "605-763-5096",
            "fax_number": "605-763-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CEDAR ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041524",
            "telephone_number": "605-763-5096",
            "fax_number": "605-763-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST AREA COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-763-5096",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beresford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.