Centerville School District 60-01

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

1018-1654-RS Issued in SD

Legal business name

CENTERVILLE SCHOOL DISTRICT 60-01

Practice address

610 Lincoln St
Centerville, SD 57014-2040

Phone

(605) 563-2291

Fax

(605) 563-2615

NPI assigned

Oct 15, 2009

Last updated

Oct 15, 2009By 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

Angie Poll

Title

Business Manager

Phone

(605) 563-2291

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Bruce Adam Bennett, RN

  • School Registered Nurse
  • Centerville, SD
  • NPI 1720605397
  NPD (past)
• Nichole Johnson, M.A., CCC/SLP-L

  • Speech-Language Pathologist
  • Centerville, SD
  • NPI 1790137834
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1407181001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LINCOLN ST",
            "city": "CENTERVILLE",
            "state": "SD",
            "postal_code": "570142040",
            "telephone_number": "605-563-2291",
            "fax_number": "605-563-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LINCOLN ST",
            "city": "CENTERVILLE",
            "state": "SD",
            "postal_code": "570142040",
            "telephone_number": "605-563-2291",
            "fax_number": "605-563-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVILLE SCHOOL DISTRICT 60-01",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "POLL",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-563-2291"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "SD",
            "license": "1018-1654-RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Broscha
• Cody D Carstensen, PHARMD
• Centerville Care & Rehab Center Inc
• Centerville Community Ambulance Service, Inc.
• Centerville Development Corporation (Centerville Care and Rehab Center)
• Justin Delzer, D.C.
• Keri Anne Hansen, MS, OTR/L
• Lavonne Isaak
• Nichole Johnson, M.A., CCC/SLP-L
• Michelle Lea Nelson, RPT

• Local Education Agency (LEA) in Centerville, SD
• Providers in Centerville, SD by specialty
• Local Education Agency (LEA) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.