Provider Demographics
NPI:1417625898
Name:ADA-BORUP-WEST ISD 2910
Entity Type:Organization
Organization Name:ADA-BORUP-WEST ISD 2910
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-784-5300
Mailing Address - Street 1:604 W THORPE AVE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MN
Mailing Address - Zip Code:56510-1027
Mailing Address - Country:US
Mailing Address - Phone:218-784-5300
Mailing Address - Fax:
Practice Address - Street 1:604 W THORPE AVE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MN
Practice Address - Zip Code:56510-1027
Practice Address - Country:US
Practice Address - Phone:218-784-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management