Provider Demographics
NPI:1588756290
Name:INDEPENDENT SCHOOL DISTRICT 16 ANOKA COUNTY
Entity type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT 16 ANOKA COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:AMBRASAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-785-5522
Mailing Address - Street 1:8000 HIGHWAY 65 NE
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55432-2051
Mailing Address - Country:US
Mailing Address - Phone:763-786-5570
Mailing Address - Fax:763-784-7838
Practice Address - Street 1:1415 81ST AVE NE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE PARK
Practice Address - State:MN
Practice Address - Zip Code:55432-2051
Practice Address - Country:US
Practice Address - Phone:763-786-5570
Practice Address - Fax:763-784-7838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)