Provider Demographics
NPI:1851600787
Name:ATWATER COSMOS GROVE CITY SCHOOLS
Entity Type:Organization
Organization Name:ATWATER COSMOS GROVE CITY SCHOOLS
Other - Org Name:ACGC SCHOOLS ISD 2396
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-857-2271
Mailing Address - Street 1:27250 MN HWY 4
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:MN
Mailing Address - Zip Code:56243-5003
Mailing Address - Country:US
Mailing Address - Phone:320-857-2271
Mailing Address - Fax:
Practice Address - Street 1:27250 MN HWY 4
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:MN
Practice Address - Zip Code:56243-5003
Practice Address - Country:US
Practice Address - Phone:320-857-2271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)