Provider Demographics
NPI:1558430504
Name:INDEPENDENT SCHOOL DISTRICT 255
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT 255
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEBL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-356-4995
Mailing Address - Street 1:223 1ST AVE SE
Mailing Address - Street 2:BOX 398
Mailing Address - City:PINE ISLAND
Mailing Address - State:MN
Mailing Address - Zip Code:55963
Mailing Address - Country:US
Mailing Address - Phone:507-356-4849
Mailing Address - Fax:507-356-8827
Practice Address - Street 1:223 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:PINE ISLAND
Practice Address - State:MN
Practice Address - Zip Code:55963
Practice Address - Country:US
Practice Address - Phone:507-356-4849
Practice Address - Fax:507-356-8827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)