Provider Demographics
NPI:1972513158
Name:MID-STATE EDUCATION DIST.
Entity type:Organization
Organization Name:MID-STATE EDUCATION DIST.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-631-2515
Mailing Address - Street 1:14713 CLOVERGLEN LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-6564
Mailing Address - Country:US
Mailing Address - Phone:320-631-2500
Mailing Address - Fax:320-632-3981
Practice Address - Street 1:14713 CLOVERGLEN LN
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-6564
Practice Address - Country:US
Practice Address - Phone:320-631-2500
Practice Address - Fax:320-632-3981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)