Provider Demographics
NPI:1659381846
Name:IND SCHOOL DIST 480 OF ONAMIA
Entity Type:Organization
Organization Name:IND SCHOOL DIST 480 OF ONAMIA
Other - Org Name:ONAMIA PUBLIC SCHOOLS - ISD #480
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-532-4174
Mailing Address - Street 1:35465 125TH AVE
Mailing Address - Street 2:
Mailing Address - City:ONAMIA
Mailing Address - State:MN
Mailing Address - Zip Code:56359-2944
Mailing Address - Country:US
Mailing Address - Phone:320-532-4174
Mailing Address - Fax:320-532-4658
Practice Address - Street 1:35465 125TH AVE
Practice Address - Street 2:
Practice Address - City:ONAMIA
Practice Address - State:MN
Practice Address - Zip Code:56359-2944
Practice Address - Country:US
Practice Address - Phone:320-532-4174
Practice Address - Fax:320-532-4658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN670082900Medicaid