Provider Demographics
NPI:1801231212
Name:HENNEPIN ELEMENTARY SCHOOL
Entity Type:Organization
Organization Name:HENNEPIN ELEMENTARY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:612-237-3430
Mailing Address - Street 1:2123 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2650
Mailing Address - Country:US
Mailing Address - Phone:612-237-3430
Mailing Address - Fax:
Practice Address - Street 1:2123 CLINTON AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:MINNEPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2650
Practice Address - Country:US
Practice Address - Phone:612-237-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)