Provider Demographics
NPI:1689798928
Name:RED WING PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:RED WING PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLESSOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-385-4500
Mailing Address - Street 1:2451 EAGLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-7444
Mailing Address - Country:US
Mailing Address - Phone:651-385-4500
Mailing Address - Fax:651-385-4510
Practice Address - Street 1:2451 EAGLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-7444
Practice Address - Country:US
Practice Address - Phone:651-385-4500
Practice Address - Fax:651-385-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8004401251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN296219500Medicare ID - Type UnspecifiedPROVIDER NUMBER