Provider Demographics
NPI:1972680643
Name:CLAY & WILKIN COUNTIES
Entity Type:Organization
Organization Name:CLAY & WILKIN COUNTIES
Other - Org Name:IND SCHOOL DIST NO 146
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTMANN BERGSETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-439-6876
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:MN
Mailing Address - Zip Code:56511
Mailing Address - Country:US
Mailing Address - Phone:218-439-6876
Mailing Address - Fax:
Practice Address - Street 1:302 3RD STREET SE
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:MN
Practice Address - Zip Code:56514
Practice Address - Country:US
Practice Address - Phone:218-354-2217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)