Provider Demographics
NPI:1598820383
Name:COUNTY OF MCLEOD, IND SCHOOL DIST 423
Entity Type:Organization
Organization Name:COUNTY OF MCLEOD, IND SCHOOL DIST 423
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARON
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERHEIDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-587-2860
Mailing Address - Street 1:30 GLEN ST NW
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1618
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30 GLEN ST NW
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-1618
Practice Address - Country:US
Practice Address - Phone:320-587-2860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN614695300Medicaid