Provider Demographics
NPI:1417012600
Name:SOUTHWEST METRO INTERMEDIATE DISTRICT
Entity Type:Organization
Organization Name:SOUTHWEST METRO INTERMEDIATE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOLMGREN
Authorized Official - Suffix:
Authorized Official - Credentials:SFO
Authorized Official - Phone:952-567-8103
Mailing Address - Street 1:792 CANTERBURY RD S STE 211
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-1825
Mailing Address - Country:US
Mailing Address - Phone:952-567-8001
Mailing Address - Fax:952-567-7300
Practice Address - Street 1:792 CANTERBURY RD S STE 211
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1825
Practice Address - Country:US
Practice Address - Phone:952-567-8001
Practice Address - Fax:952-567-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)