Provider Demographics
NPI:1083624217
Name:WEST ST. PAUL - MENDOTA HEIGHTS ISD 197
Entity Type:Organization
Organization Name:WEST ST. PAUL - MENDOTA HEIGHTS ISD 197
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL PROGRAMS
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOEPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-681-2393
Mailing Address - Street 1:1897 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55118-4338
Mailing Address - Country:US
Mailing Address - Phone:651-681-2392
Mailing Address - Fax:651-681-9102
Practice Address - Street 1:1897 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55118-4338
Practice Address - Country:US
Practice Address - Phone:651-681-2392
Practice Address - Fax:651-681-9102
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)