Provider Demographics
NPI:1053668764
Name:HARBOR CITY INTERNATIONAL SCHOOL
Entity Type:Organization
Organization Name:HARBOR CITY INTERNATIONAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-722-7574
Mailing Address - Street 1:332 W MICHIGAN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1618
Mailing Address - Country:US
Mailing Address - Phone:218-722-7574
Mailing Address - Fax:
Practice Address - Street 1:332 W MICHIGAN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1618
Practice Address - Country:US
Practice Address - Phone:218-722-7574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)