White Lake School District

LBN: White Lake School District
White Lake School District is an health care organization with primary practice located at 612 South Main St , Platte SD 57369-0228. The organization recently has 2 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Early Intervention Provider Agency. Agencies / Local Education Agency (LEA) is the primary health care specialty. White Lake School District can be contacted via phone (605) 337-2636, or through Johnson, Berle via phone (605) 249-2251.

Contact Information

Primary practice address
612 South Main St Platte SD 57369-0228
Phone: (605) 337-2636
Fax: (605) 337-2271
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Berle
Phone: (605) 249-2251

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X South Dakota
Agencies / Early Intervention Provider Agency 252Y00000X South Dakota

Profile Details

NPI number 1275778870
LBN Legal business name White Lake School District
DBA Doing business as
Authorized official Johnson, Berle
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2008
Last updated Dec 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275778870 NPPES
South Dakota MEDICAID 5150250

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