Provider Demographics
NPI:1073738431
Name:MINNESOTA STATE ACADEMIES
Entity Type:Organization
Organization Name:MINNESOTA STATE ACADEMIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-332-5402
Mailing Address - Street 1:615 OLAF HANSEN DR
Mailing Address - Street 2:PO BOX 308
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-5330
Mailing Address - Country:US
Mailing Address - Phone:507-332-5420
Mailing Address - Fax:507-332-5404
Practice Address - Street 1:615 OLAF HANSEN DR
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021
Practice Address - Country:US
Practice Address - Phone:507-332-5420
Practice Address - Fax:507-332-5404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)