Timber Lake School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

TIMBER LAKE SCHOOL

Practice address

503 N Main
Isabel, SD 57633-0035

Phone

(605) 466-2206

Fax

(605) 466-2207

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Mayer

Title

Business Manager

Phone

(605) 466-2206

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1861674079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "TIMBER LAKE",
            "state": "SD",
            "postal_code": "57656",
            "telephone_number": "605-466-2206",
            "fax_number": "605-466-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "576330035",
            "telephone_number": "605-466-2206",
            "fax_number": "605-466-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER LAKE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-466-2206",
        "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": "W4510",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90899",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92507",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97799",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabel School District
• Isabel-Dewey County Ambulance Service
• Lisa Martin, RN
• McIntosh School
• David H Rollason Jr., PAC
• Lacey Wondercheck

• Local Education Agency (LEA) in Isabel, SD
• Providers in Isabel, 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 Nov 29, 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.