Provider Demographics
NPI:1528134632
Name:INDEPENDENT SCHOOL DISTRICT NO 834
Entity type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT NO 834
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASS'T SUPT. OF T & L
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHULD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-351-8381
Mailing Address - Street 1:1875 GREELEY ST S
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6079
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1875 GREELEY ST S
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6079
Practice Address - Country:US
Practice Address - Phone:651-351-8381
Practice Address - Fax:651-351-8380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
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
MN0834OtherSCHOOL DISTRICT NUMBER
MN153400900Medicaid