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NPI Code Detail

MEDICARE: INDEPENDENT SCHOOL DIST 181 CROW WING COUNTY

MEDICARE: INDEPENDENT SCHOOL DIST 181 CROW WING COUNTY
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
1251300000XLocal Education Agency (LEA)

Other Identifiers

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

General Provider Information

NPI Number : 1215023197
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDEPENDENT SCHOOL DIST 181 CROW WING COUNTY
Provider Business Mailing Address
First Line : 804 OAK STREET
Second Line :
City : BRAINERD
State : MN
Zip : 56401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 804 OAK ST
Second Line :
City : BRAINERD
State : MN
Zip : 56401-3755
Country : US
Telephone Number : 218-822-6900
Fax Number :
Authorized Official
Title or Position : THIRD PARTY ADMINISTRATOR
Name : WANDA LANE
Credential :
Telephone Number : 218-454-5532
Provider Enumeration Date : 10/05/2006
Last Update Date : 11/12/2020

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Directions to “INDEPENDENT SCHOOL DIST 181 CROW WING COUNTY ” Practice Location

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