MEDICARE: INDEPENDENT SCHOOL DISTRICT 200

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)		MN

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	:	1740290006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT SCHOOL DISTRICT 200

Provider Business Mailing Address
First Line	:	1000 11TH ST W
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033-3717
Country	:	US
Telephone Number	:	651-480-7009
Fax Number	:	651-480-7020

Provider Business Practice Location Address
First Line	:	1000 11TH ST W
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033-3717
Country	:	US
Telephone Number	:	651-480-7009
Fax Number	:	651-480-7020

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL SERVICES
Name	:	MS. CORINNE GRAHAM
Credential	:
Telephone Number	:	651-480-7009

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/14/2009

Similar Medicare Providers

1497252092 — MOLLY DEVLIN OTR/L
Practice Location Address:

1000 11TH ST W
HASTINGS, MN
55033-3717

Practice Phone: 651-480-7000
Practice Fax:

1821500265 — SIMONE LEANNE LENERTZ OTR/L
Practice Location Address:

1000 11TH ST W
HASTINGS, MN
55033-3717

Practice Phone: 651-480-7000
Practice Fax:

1255754586 — STEPHANIE FLOM
Practice Location Address:

1000 11TH ST W
HASTINGS, MN
55033-3717

Practice Phone: 651-480-7000
Practice Fax:

1124876164 — SUE THAO YANG
Practice Location Address:

1009 MAPLE ST
HASTINGS, MN
55033-2340

Practice Phone: 763-898-9914
Practice Fax:

1003764796 — JAIDEN ANGELA PANGIER
Practice Location Address:

1303 S FRONTAGE RD STE 104
HASTINGS, MN
55033-2657

Practice Phone: 651-899-7981
Practice Fax:

1033066915 — MRS. VIOLA MYNTTI WATROBA BSN, RN
Practice Location Address:

14466 65TH ST S
HASTINGS, MN
55033-9001

Practice Phone: 612-719-6077
Practice Fax:

Directions to “INDEPENDENT SCHOOL DISTRICT 200 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.