Provider Demographics
NPI:1740345917
Name:ISD 832 - MAHTOMEDI SCHOOL DISTRICT
Entity type:Organization
Organization Name:ISD 832 - MAHTOMEDI SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUNDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-407-2003
Mailing Address - Street 1:1520 MAHTOMEDI AVE
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-1907
Mailing Address - Country:US
Mailing Address - Phone:651-407-2000
Mailing Address - Fax:651-407-2025
Practice Address - Street 1:1520 MAHTOMEDI AVE
Practice Address - Street 2:
Practice Address - City:MAHTOMEDI
Practice Address - State:MN
Practice Address - Zip Code:55115-1907
Practice Address - Country:US
Practice Address - Phone:651-407-2000
Practice Address - Fax:651-407-2025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)