Provider Demographics
NPI:1770663627
Name:IND SCHOOL DIST 447 BELTRAMI & MARSHALL COS
Entity Type:Organization
Organization Name:IND SCHOOL DIST 447 BELTRAMI & MARSHALL COS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GALEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-294-6155
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:114 N FLADELAND AVE
Mailing Address - City:GRYGLA
Mailing Address - State:MN
Mailing Address - Zip Code:56727-0018
Mailing Address - Country:US
Mailing Address - Phone:218-294-6155
Mailing Address - Fax:
Practice Address - Street 1:114 N FLADELAND AVE
Practice Address - Street 2:
Practice Address - City:GRYGLA
Practice Address - State:MN
Practice Address - Zip Code:56727
Practice Address - Country:US
Practice Address - Phone:218-294-6155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN108477100Medicare ID - Type UnspecifiedDISTRICT MA NUMBER