MEDICARE: KITTSON CENTRAL SCHOOL DISTRICT #2171

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)

General Provider Information

NPI Number	:	1245310192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KITTSON CENTRAL SCHOOL DISTRICT #2171

Provider Business Mailing Address
First Line	:	PO BOX 670
Second Line	:
City	:	HALLOCK
State	:	MN
Zip	:	56728-0670
Country	:	US
Telephone Number	:	218-843-3682
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 N ASH
Second Line	:
City	:	HALLOCK
State	:	MN
Zip	:	56728-0670
Country	:	US
Telephone Number	:	218-843-3682
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	BRUCE JENSEN
Credential	:
Telephone Number	:	218-843-3682

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1427050582 — KITTSON MEMORIAL HOSPITAL ASSOCIATION
Practice Location Address:

1010 S. BIRCH AVE
HALLOCK, MN
56728-4215

Practice Phone: 218-843-3662
Practice Fax: 218-843-2487

1790759090 — DUANE P RUTZ OD
Practice Location Address:

204 S ATLANTIC
HALLOCK, MN
56728

Practice Phone: 218-843-2663
Practice Fax: 218-843-2665

1235167636 — ROLAND ROY LARTER M.D.
Practice Location Address:

1010 S BIRCH AVE
HALLOCK, MN
56728-4215

Practice Phone: 218-843-2868
Practice Fax:

1619908993 — KAREN JEAN WARNER PA
Practice Location Address:

1010 S BIRCH AVE
HALLOCK, MN
56728-4215

Practice Phone: 218-843-2165
Practice Fax:

1003847211 — KITTSON MEMORIAL HOSPITAL ASSOCIATION
Practice Location Address:

1010 S BIRCH AVE
HALLOCK, MN
56728-4215

Practice Phone: 218-843-3612
Practice Fax:

1669403846 — KITTSON MEMORIAL HOSPITAL ASSOCIATION
Practice Location Address:

1010 S BIRCH AVE
HALLOCK, MN
56728-4215

Practice Phone: 218-843-3612
Practice Fax:

Directions to “KITTSON CENTRAL SCHOOL DISTRICT #2171 ” 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.