Provider Demographics
NPI:1326313156
Name:ZUMBROTA-MAZEPPA PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:ZUMBROTA-MAZEPPA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-843-4080
Mailing Address - Street 1:343 3RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:MAZEPPA
Mailing Address - State:MN
Mailing Address - Zip Code:55956-3170
Mailing Address - Country:US
Mailing Address - Phone:507-843-4194
Mailing Address - Fax:507-843-4086
Practice Address - Street 1:343 3RD AVE NE
Practice Address - Street 2:
Practice Address - City:MAZEPPA
Practice Address - State:MN
Practice Address - Zip Code:55956-3170
Practice Address - Country:US
Practice Address - Phone:507-843-4194
Practice Address - Fax:507-843-4086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)