1326120213 NPI number — SOUTH KOOCHICHING ISD 363

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326120213 NPI number — SOUTH KOOCHICHING ISD 363

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH KOOCHICHING ISD 363
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326120213
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 465
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHOME
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56661-0465
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
218-897-5275
Provider Business Mailing Address Fax Number:
218-897-5280

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11731 HWY 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHOME
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56661
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-897-5275
Provider Business Practice Location Address Fax Number:
218-897-5280
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STRUSS
Authorized Official First Name:
JERRY
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
218-897-5277

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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