Provider Demographics
NPI:1538305578
Name:FRIDLEY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:FRIDLEY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:LOMBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-502-5024
Mailing Address - Street 1:6000 MOORE LAKE DR W
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-5601
Mailing Address - Country:US
Mailing Address - Phone:763-502-5024
Mailing Address - Fax:763-502-5041
Practice Address - Street 1:6000 MOORE LAKE DR W
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-5601
Practice Address - Country:US
Practice Address - Phone:763-502-5024
Practice Address - Fax:763-502-5041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)