Provider Demographics
NPI:1346310018
Name:INDEPENDENT SCHOOL DIST. #173
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DIST. #173
Other - Org Name:MOUNTAIN LAKE PUBLIC SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:QUIRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-427-2325
Mailing Address - Street 1:450 12TH ST N
Mailing Address - Street 2:P.O. BOX 400
Mailing Address - City:MOUNTAIN LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56159-1593
Mailing Address - Country:US
Mailing Address - Phone:507-427-2325
Mailing Address - Fax:507-427-3047
Practice Address - Street 1:450 12TH ST N
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKE
Practice Address - State:MN
Practice Address - Zip Code:56159-1593
Practice Address - Country:US
Practice Address - Phone:507-427-2325
Practice Address - Fax:507-427-3047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)