Provider Demographics
NPI:1245575034
Name:INDEPENDENT SCHOOL DISTRICT #2886
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT #2886
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-448-2889
Mailing Address - Street 1:230 5TH ST SE
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56036-8701
Mailing Address - Country:US
Mailing Address - Phone:507-448-2889
Mailing Address - Fax:
Practice Address - Street 1:230 5TH ST SE
Practice Address - Street 2:
Practice Address - City:GLENVILLE
Practice Address - State:MN
Practice Address - Zip Code:56036-8701
Practice Address - Country:US
Practice Address - Phone:507-448-2889
Practice Address - Fax:507-448-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)