Provider Demographics
NPI:1356409940
Name:IND SCHOOL DIST 152
Entity type:Organization
Organization Name:IND SCHOOL DIST 152
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-LEARNER SUPPORT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CINDI
Authorized Official - Middle Name:W
Authorized Official - Last Name:ANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-284-3711
Mailing Address - Street 1:2410 14TH ST S
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-4624
Mailing Address - Country:US
Mailing Address - Phone:218-284-3711
Mailing Address - Fax:218-384-3733
Practice Address - Street 1:2410 14TH ST S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-4624
Practice Address - Country:US
Practice Address - Phone:218-284-3711
Practice Address - Fax:218-384-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8033594251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)