Provider Demographics
NPI:1730639972
Name:DISCOVERY CHARTER SCHOOL
Entity Type:Organization
Organization Name:DISCOVERY CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENALSHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-444-8464
Mailing Address - Street 1:4100 66TH ST E
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-2230
Mailing Address - Country:US
Mailing Address - Phone:651-444-8464
Mailing Address - Fax:
Practice Address - Street 1:4100 66TH ST E
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-2230
Practice Address - Country:US
Practice Address - Phone:651-444-8464
Practice Address - Fax:651-444-8468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)