Healthcare Provider Details

I. General information

NPI: 1831232081
Provider Name (Legal Business Name): INDEPENDENT SCHOOL DISTRICT 2165
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MAIN ST E
HINCKLEY MN
55037-0308
US

IV. Provider business mailing address

PO BOX 308 201 E MAIN ST
HINCKLEY MN
55037-0308
US

V. Phone/Fax

Practice location:
  • Phone: 320-384-6277
  • Fax: 320-384-6135
Mailing address:
  • Phone: 320-384-6277
  • Fax: 320-384-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: JACK ALMOS
Title or Position: SUPERINTENDENT
Credential:
Phone: 320-384-6277