Provider Demographics
NPI:1609930502
Name:IND SCHOOL DIST 549
Entity Type:Organization
Organization Name:IND SCHOOL DIST 549
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:USELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-346-6500
Mailing Address - Street 1:200 5TH ST SE
Mailing Address - Street 2:
Mailing Address - City:PERHAM
Mailing Address - State:MN
Mailing Address - Zip Code:56573-1762
Mailing Address - Country:US
Mailing Address - Phone:218-346-6500
Mailing Address - Fax:218-346-6504
Practice Address - Street 1:200 5TH ST SE
Practice Address - Street 2:
Practice Address - City:PERHAM
Practice Address - State:MN
Practice Address - Zip Code:56573-1762
Practice Address - Country:US
Practice Address - Phone:218-346-6500
Practice Address - Fax:218-346-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN884625100Medicaid