Provider Demographics
NPI:1558431254
Name:INDEPENDENT SCHOOL DISTRICT 81
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT 81
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-877-3491
Mailing Address - Street 1:305 OCHRE ST W
Mailing Address - Street 2:
Mailing Address - City:COMFREY
Mailing Address - State:MN
Mailing Address - Zip Code:56019-1166
Mailing Address - Country:US
Mailing Address - Phone:507-877-3491
Mailing Address - Fax:507-877-3492
Practice Address - Street 1:305 OCHRE ST W
Practice Address - Street 2:
Practice Address - City:COMFREY
Practice Address - State:MN
Practice Address - Zip Code:56019-1166
Practice Address - Country:US
Practice Address - Phone:507-877-3491
Practice Address - Fax:507-877-3492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN764445100OtherIEP SERVICE PROVIDER
MN764445100Medicare ID - Type UnspecifiedIEP SERVICE PROVIDER