Provider Demographics
NPI:1215253026
Name:EDVISIONS COOPERATIVE, INC.
Entity type:Organization
Organization Name:EDVISIONS COOPERATIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GRAPENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:507-248-3738
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:MN
Mailing Address - Zip Code:56044-0518
Mailing Address - Country:US
Mailing Address - Phone:507-248-3738
Mailing Address - Fax:507-248-3789
Practice Address - Street 1:501 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:MN
Practice Address - Zip Code:56044-0518
Practice Address - Country:US
Practice Address - Phone:507-248-3738
Practice Address - Fax:507-248-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)