Provider Demographics
NPI:1871658377
Name:IND SCHOOL DIS 695
Entity Type:Organization
Organization Name:IND SCHOOL DIS 695
Other - Org Name:CHISHOLM PUBLIC SCHOOLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:VARICHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-254-5726
Mailing Address - Street 1:300 SW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CHISHOLM
Mailing Address - State:MN
Mailing Address - Zip Code:55719
Mailing Address - Country:US
Mailing Address - Phone:218-254-5726
Mailing Address - Fax:218-254-3741
Practice Address - Street 1:300 SW 3RD AVE
Practice Address - Street 2:
Practice Address - City:CHISHOLM
Practice Address - State:MN
Practice Address - Zip Code:55719
Practice Address - Country:US
Practice Address - Phone:218-254-5726
Practice Address - Fax:218-254-3741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN979688600OtherMN-ITS USER ID