Provider Demographics
NPI:1497081004
Name:ST. CLAIR ISD #75
Entity Type:Organization
Organization Name:ST. CLAIR ISD #75
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-245-3501
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:121 WEST MAIN STREET
Mailing Address - City:ST. CLAIR
Mailing Address - State:MN
Mailing Address - Zip Code:56080-0099
Mailing Address - Country:US
Mailing Address - Phone:507-245-3501
Mailing Address - Fax:507-245-3517
Practice Address - Street 1:121 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:ST. CLAIR
Practice Address - State:MN
Practice Address - Zip Code:56080-0099
Practice Address - Country:US
Practice Address - Phone:507-245-3501
Practice Address - Fax:507-245-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)