Provider Demographics
NPI:1750450482
Name:INDEPENDENT SCHOOL DISTRICT NO 716
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT NO 716
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:952-873-3930
Mailing Address - Street 1:220 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BELLE PLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:56011-1701
Mailing Address - Country:US
Mailing Address - Phone:952-873-2400
Mailing Address - Fax:
Practice Address - Street 1:220 S MARKET ST
Practice Address - Street 2:
Practice Address - City:BELLE PLAINE
Practice Address - State:MN
Practice Address - Zip Code:56011-1701
Practice Address - Country:US
Practice Address - Phone:952-873-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherFEDERAL TAX I.D.NUMBER