Provider Demographics
NPI:1376638353
Name:INDEPENDENT SCHOOL DISTRICT #656
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT #656
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:507-333-6002
Mailing Address - Street 1:PO BOX 618
Mailing Address - Street 2:2800 1ST AVE NW, SUITE 1
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-0618
Mailing Address - Country:US
Mailing Address - Phone:507-333-6000
Mailing Address - Fax:507-333-6077
Practice Address - Street 1:2800 1ST AVE NW, SUITE 1
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021
Practice Address - Country:US
Practice Address - Phone:507-333-6000
Practice Address - Fax:507-330-6077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN500633300Medicaid