Provider Demographics
NPI:1366507436
Name:WACONIA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WACONIA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KJERGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-442-0600
Mailing Address - Street 1:401 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-2081
Mailing Address - Country:US
Mailing Address - Phone:952-368-8810
Mailing Address - Fax:952-227-5545
Practice Address - Street 1:512 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387
Practice Address - Country:US
Practice Address - Phone:952-368-8810
Practice Address - Fax:952-227-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)