Provider Demographics
NPI:1184992463
Name:SAINT PAUL CONSERVATORY FOR PERFORMING ARTISTS
Entity type:Organization
Organization Name:SAINT PAUL CONSERVATORY FOR PERFORMING ARTISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SCHOOL
Authorized Official - Prefix:MS
Authorized Official - First Name:CALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:LOCAL EDUCATION AGEN
Authorized Official - Phone:651-290-2225
Mailing Address - Street 1:16 WEST 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102
Mailing Address - Country:US
Mailing Address - Phone:651-290-2225
Mailing Address - Fax:651-290-9000
Practice Address - Street 1:16 WEST 5TH STREET
Practice Address - Street 2:
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-290-2225
Practice Address - Fax:651-290-9000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)