1114007069 NPI number — INDEPENDENT SCHOOL DISTRICT 2683

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 1114007069 NPI number — INDEPENDENT SCHOOL DISTRICT 2683

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INDEPENDENT SCHOOL DISTRICT 2683
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:
6
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:
1114007069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 70
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENBUSH
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56726-0070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
218-782-2231
Provider Business Mailing Address Fax Number:
218-782-3141

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 PARK AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENBUSH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56726-0070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-782-2231
Provider Business Practice Location Address Fax Number:
218-782-3141
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RUUD
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
J
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
218-782-2231

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)





Copyright © 2007-2026 www.npivalidator.com