Provider Demographics
NPI:1568472769
Name:ROCHESTER INDEPENDENT SCHOOL DISTRICT NO. 535
Entity Type:Organization
Organization Name:ROCHESTER INDEPENDENT SCHOOL DISTRICT NO. 535
Other - Org Name:ROCHESTER ISD 535
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF STUDENT SUPPORT SERVICE
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-285-8737
Mailing Address - Street 1:615 7TH ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-2052
Mailing Address - Country:US
Mailing Address - Phone:507-285-8737
Mailing Address - Fax:507-280-4762
Practice Address - Street 1:615 7TH ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-2052
Practice Address - Country:US
Practice Address - Phone:507-285-8737
Practice Address - Fax:507-280-4762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN487555900Medicaid