MEDICARE: COUNTY OF MCLEOD, IND SCHOOL DIST 423

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598820383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF MCLEOD, IND SCHOOL DIST 423

Provider Business Mailing Address
First Line	:	30 GLEN ST NW
Second Line	:
City	:	HUTCHINSON
State	:	MN
Zip	:	55350-1618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 GLEN ST NW
Second Line	:
City	:	HUTCHINSON
State	:	MN
Zip	:	55350-1618
Country	:	US
Telephone Number	:	320-587-2860
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. DARON VANDERHEIDEN
Credential	:
Telephone Number	:	320-587-2860

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	06/18/2008

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