Provider Demographics
NPI:1407908726
Name:CANNON FALLS ISD #252
Entity Type:Organization
Organization Name:CANNON FALLS ISD #252
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:SESKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-263-6800
Mailing Address - Street 1:820 MINNESOTA ST E
Mailing Address - Street 2:
Mailing Address - City:CANNON FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:55009-2225
Mailing Address - Country:US
Mailing Address - Phone:507-263-6800
Mailing Address - Fax:
Practice Address - Street 1:820 MINNESOTA ST E
Practice Address - Street 2:
Practice Address - City:CANNON FALLS
Practice Address - State:MN
Practice Address - Zip Code:55009-2225
Practice Address - Country:US
Practice Address - Phone:507-263-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN190115000Medicaid