Provider Demographics
NPI:1265513089
Name:INDEPENDENT SCHOOL DISTRICT NO 750
Entity type:Organization
Organization Name:INDEPENDENT SCHOOL DISTRICT NO 750
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:STASKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-685-4195
Mailing Address - Street 1:534 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:MN
Mailing Address - Zip Code:56320-1409
Mailing Address - Country:US
Mailing Address - Phone:320-685-4195
Mailing Address - Fax:320-685-4906
Practice Address - Street 1:534 5TH AVE N
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:MN
Practice Address - Zip Code:56320-1409
Practice Address - Country:US
Practice Address - Phone:320-685-4195
Practice Address - Fax:320-685-4906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)