Provider Demographics
NPI:1174761803
Name:BONESTEEL FAIRFAX SCH DIST 26-5
Entity type:Organization
Organization Name:BONESTEEL FAIRFAX SCH DIST 26-5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WATERBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-654-2623
Mailing Address - Street 1:PO BOX 410
Mailing Address - Street 2:410 BIRDSELL STREET
Mailing Address - City:BONESTEEL
Mailing Address - State:SD
Mailing Address - Zip Code:57317
Mailing Address - Country:US
Mailing Address - Phone:605-654-2623
Mailing Address - Fax:605-654-2348
Practice Address - Street 1:410 BIRDSELL STREET
Practice Address - Street 2:
Practice Address - City:BONESTEEL
Practice Address - State:SD
Practice Address - Zip Code:57317
Practice Address - Country:US
Practice Address - Phone:605-654-2623
Practice Address - Fax:605-654-2348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)