Provider Demographics
NPI:1386724698
Name:BENTON-STEARNS EDUCATION DISTRICT
Entity type:Organization
Organization Name:BENTON-STEARNS EDUCATION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BORGESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-252-8427
Mailing Address - Street 1:517 2ND ST S
Mailing Address - Street 2:P O BOX 299
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-1925
Mailing Address - Country:US
Mailing Address - Phone:320-252-8427
Mailing Address - Fax:320-252-1316
Practice Address - Street 1:517 2ND ST S
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-1925
Practice Address - Country:US
Practice Address - Phone:320-252-8427
Practice Address - Fax:320-252-1316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN058490800Medicaid