Provider Demographics
NPI:1417013301
Name:FULDA PUBLIC SCHOOL
Entity Type:Organization
Organization Name:FULDA PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WIDVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-425-2514
Mailing Address - Street 1:410 N COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:FULDA
Mailing Address - State:MN
Mailing Address - Zip Code:56131-9439
Mailing Address - Country:US
Mailing Address - Phone:507-425-2514
Mailing Address - Fax:
Practice Address - Street 1:410 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FULDA
Practice Address - State:MN
Practice Address - Zip Code:56131-9439
Practice Address - Country:US
Practice Address - Phone:507-425-2514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)