Provider Demographics
NPI:1952490534
Name:INDEPENDENT SCHOOL DISTRICT 241
Entity Type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT 241
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDANT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-379-4802
Mailing Address - Street 1:211 W RICHWAY DR
Mailing Address - Street 2:
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007-2164
Mailing Address - Country:US
Mailing Address - Phone:507-379-4820
Mailing Address - Fax:507-379-4819
Practice Address - Street 1:211 W RICHWAY DR
Practice Address - Street 2:
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007-2164
Practice Address - Country:US
Practice Address - Phone:507-379-4820
Practice Address - Fax:507-379-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN857937700Medicaid