Waverly School District 14 5
Organization Active NPI Local Education Agency (LEA) · Waverly, SD
NPI 1679760052 · NPPES record last updated Sep 28, 2007
Key facts
- NPI
- 1679760052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- WAVERLY SCHOOL DISTRICT 14 5
- Practice address
- 319 Mary Place
Waverly, SD 57201-9700 - Phone
- (605) 886-9174
- Fax
- (605) 886-6630
- NPI assigned
- Sep 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Misty Marie Hemmingson
- Title
- Business Manager
- Phone
- (605) 886-9174
National Provider Directory
Locations
319 Mary Pl
Waverly, SD 57201
Phone (605) 886-9174
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Yes |
Addresses
Primary practice location
319 Mary Place
Waverly, SD 57201-9700
Mailing address
319 Mary Place
Waverly, SD 57201-9700
Phone (605) 886-9174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5150470 | Medicaid | SD |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.