Provider Demographics
NPI:1629320809
Name:ISD #513 BREWSTER PS
Entity Type:Organization
Organization Name:ISD #513 BREWSTER PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORNELIUS
Authorized Official - Middle Name:H
Authorized Official - Last Name:SMIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-842-5951
Mailing Address - Street 1:915 4TH AVENUE
Mailing Address - Street 2:PO BOX 309
Mailing Address - City:BREWSTER
Mailing Address - State:MN
Mailing Address - Zip Code:56119
Mailing Address - Country:US
Mailing Address - Phone:507-842-5951
Mailing Address - Fax:
Practice Address - Street 1:915 4TH AVENUE
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MN
Practice Address - Zip Code:56119
Practice Address - Country:US
Practice Address - Phone:507-842-5951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)