Provider Demographics
NPI:1962779330
Name:NAYTAHWAUSH COMMUNITY CHARTER SCHOOL
Entity type:Organization
Organization Name:NAYTAHWAUSH COMMUNITY CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-935-5025
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:NAYTAHWAUSH
Mailing Address - State:MN
Mailing Address - Zip Code:56566-0009
Mailing Address - Country:US
Mailing Address - Phone:218-935-5025
Mailing Address - Fax:218-936-2124
Practice Address - Street 1:242 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:NAYTAHWAUSH
Practice Address - State:MN
Practice Address - Zip Code:56566
Practice Address - Country:US
Practice Address - Phone:218-935-5025
Practice Address - Fax:218-936-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)