Provider Demographics
NPI:1700824109
Name:SPECIAL SCHOOL DIST 6 DAKOTA CO
Entity Type:Organization
Organization Name:SPECIAL SCHOOL DIST 6 DAKOTA CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-457-9496
Mailing Address - Street 1:104 5TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SOUTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-2332
Mailing Address - Country:US
Mailing Address - Phone:651-457-9465
Mailing Address - Fax:651-457-9485
Practice Address - Street 1:104 5TH AVE S
Practice Address - Street 2:
Practice Address - City:SOUTH ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55075-2332
Practice Address - Country:US
Practice Address - Phone:651-457-9465
Practice Address - Fax:651-457-9485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
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
MN093400300Medicaid