Provider Demographics
NPI:1245395433
Name:TODD COUNTY
Entity Type:Organization
Organization Name:TODD COUNTY
Other - Org Name:IND SCHOOL DIST 787
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WERDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-594-2272
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:BROWERVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56438-0185
Mailing Address - Country:US
Mailing Address - Phone:320-594-2272
Mailing Address - Fax:320-594-8105
Practice Address - Street 1:6TH & PARK
Practice Address - Street 2:
Practice Address - City:BROWERVILLE
Practice Address - State:MN
Practice Address - Zip Code:56438-0185
Practice Address - Country:US
Practice Address - Phone:320-594-2272
Practice Address - Fax:320-594-8105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN360403900Medicaid