Provider Demographics
NPI:1114007069
Name:INDEPENDENT SCHOOL DISTRICT 2683
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT 2683
Other - Org Name:GREENBUSH - MIDDLE RIVER SCHOOLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-782-2231
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:GREENBUSH
Mailing Address - State:MN
Mailing Address - Zip Code:56726-0070
Mailing Address - Country:US
Mailing Address - Phone:218-782-2231
Mailing Address - Fax:218-782-3141
Practice Address - Street 1:401 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:GREENBUSH
Practice Address - State:MN
Practice Address - Zip Code:56726-0070
Practice Address - Country:US
Practice Address - Phone:218-782-2231
Practice Address - Fax:218-782-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN560052900Medicare ID - Type UnspecifiedDISTRICT MA NUMBER