MEDICARE: SPECIAL SCHOOL DIST 6 DAKOTA CO

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)

Other Identifiers

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

General Provider Information

NPI Number	:	1700824109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL SCHOOL DIST 6 DAKOTA CO

Provider Business Mailing Address
First Line	:	104 5TH AVE S
Second Line	:
City	:	SOUTH ST PAUL
State	:	MN
Zip	:	55075-2332
Country	:	US
Telephone Number	:	651-457-9465
Fax Number	:	651-457-9485

Provider Business Practice Location Address
First Line	:	104 5TH AVE S
Second Line	:
City	:	SOUTH ST PAUL
State	:	MN
Zip	:	55075-2332
Country	:	US
Telephone Number	:	651-457-9465
Fax Number	:	651-457-9485

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL SERVICES
Name	:	MS. LINDA GARDNER
Credential	:
Telephone Number	:	651-457-9496

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	06/19/2008

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Directions to “SPECIAL SCHOOL DIST 6 DAKOTA CO ” Practice Location

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