Provider Demographics
NPI:1295818029
Name:COUNTY OF BENTON IND SCHOOL DIST 51
Entity Type:Organization
Organization Name:COUNTY OF BENTON IND SCHOOL DIST 51
Other - Org Name:FOLEY PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-968-7175
Mailing Address - Street 1:840 NORMAN AVE N
Mailing Address - Street 2:P O BOX 297
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329-0297
Mailing Address - Country:US
Mailing Address - Phone:320-968-7175
Mailing Address - Fax:320-968-8608
Practice Address - Street 1:840 NORMAN AVE N
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329
Practice Address - Country:US
Practice Address - Phone:320-968-7175
Practice Address - Fax:320-968-8608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN432626100Medicaid