Organization Active NPI

Clark School Dist 12 2

  • Local Education Agency (LEA)
  • Hayti, SD
National Provider Identifier
1669669131
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CLARK SCHOOL DIST 12 2
Practice address
209 Main Ave
Nesc
Hayti, SD 57241
Phone
(605) 783-3607
Fax
(605) 783-3259
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Mrs. Clarice Faye Drenwald
Title
Business Manager
Phone
(605) 532-3604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

209 Main Ave
Nesc
Hayti, SD 57241

Mailing address

220 N Clinton St
Clark, SD 57225
Phone (605) 532-3604

Other identifiers 1

IdentifierTypeStateIssuer
5150320MedicaidSD

National Provider Directory

National Provider Directory

Locations

220 N Clinton St
Clark, SD 57225

209 Main Ave
Hayti, SD 57241
Phone (605) 783-3607

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1669669131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N CLINTON ST",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "57225",
            "telephone_number": "605-532-3604",
            "fax_number": "605-532-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN AVE",
            "address_2": "NESC",
            "city": "HAYTI",
            "state": "SD",
            "postal_code": "57241",
            "telephone_number": "605-783-3607",
            "fax_number": "605-783-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK SCHOOL DIST 12 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "DRENWALD",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-532-3604",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5150320",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayti, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.