Willow Lake School 12 3

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WILLOW LAKE SCHOOL 12 3

Practice address

400 Garfield St
Willow Lake, SD 57278

Phone

(605) 625-5945

Fax

(605) 625-3103

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By 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. Janet F Denman

Title

Business Manager

Phone

(605) 625-5945

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1861688152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "address_2": "400 GARFIELD ST",
            "city": "WILLOW LAKE",
            "state": "SD",
            "postal_code": "57278",
            "telephone_number": "605-625-5945",
            "fax_number": "605-625-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GARFIELD ST",
            "city": "WILLOW LAKE",
            "state": "SD",
            "postal_code": "57278",
            "telephone_number": "605-625-5945",
            "fax_number": "605-625-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW LAKE SCHOOL 12 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-625-5945",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5150480",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen R Hohm, RN
• Patti Larson, PATTI LARSON

• Local Education Agency (LEA) in Willow Lake, SD
• Providers in Willow Lake, 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 Sep 20, 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.