Bridgewater-Emery School 30-3

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BRIDGEWATER-EMERY SCHOOL 30-3

Practice address

715 E 14TH St.
Sioux Falls, SD 57104-5151

Phone

(605) 271-0218

NPI assigned

Jul 8, 2010

Last updated

Sep 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. VI Engbrecht

Title

Medicaid Billing Agent

Phone

(605) 271-0218

Specialties & licenses 1

Addresses

Other names 1

• Bridgewater-Emery School District 30-3 Other name

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1285946160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E 14TH ST.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045151",
            "telephone_number": "605-271-0218",
            "fax_number": "605-271-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 14TH ST.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045151",
            "telephone_number": "605-271-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER-EMERY SCHOOL 30-3",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "ENGBRECHT",
        "authorized_official_first_name": "VI",
        "authorized_official_title_or_position": "MEDICAID BILLING AGENT",
        "authorized_official_telephone_number": "605-271-0218",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgewater-Emery School District 30-3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 9, 2011; 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.