Healthcare Provider Details

I. General information

NPI: 1922421601
Provider Name (Legal Business Name): WAHPETON PUBLIC SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 9TH ST N
WAHPETON ND
58075-4098
US

IV. Provider business mailing address

PO BOX 10
WAHPETON ND
58074-0010
US

V. Phone/Fax

Practice location:
  • Phone: 701-642-5499
  • Fax: 701-672-5299
Mailing address:
  • Phone: 701-642-5499
  • Fax: 701-672-5299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROSEMARY HARDIE
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 701-642-5499