=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831232081
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INDEPENDENT SCHOOL DISTRICT 2165
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2007
-----------------------------------------------------
Last Update Date | 07/31/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 MAIN ST E
-----------------------------------------------------
City | HINCKLEY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55037-0308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-384-6277
-----------------------------------------------------
Fax | 320-384-6135
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 308 201 E MAIN ST
-----------------------------------------------------
City | HINCKLEY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55037-0308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-384-6277
-----------------------------------------------------
Fax | 320-384-6135
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | JACK ALMOS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 320-384-6277
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------