Provider Demographics
NPI:1740479849
Name:FILLMORE CENTRAL SCHOO
Entity type:Organization
Organization Name:FILLMORE CENTRAL SCHOO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREITSPRECHER
Authorized Official - Suffix:
Authorized Official - Credentials:ED S
Authorized Official - Phone:1507-886-2363
Mailing Address - Street 1:145 MAIN AVE. SOUTH
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:MN
Mailing Address - Zip Code:55939
Mailing Address - Country:US
Mailing Address - Phone:150-788-6646
Mailing Address - Fax:507-886-6642
Practice Address - Street 1:145 MAIN AVE. SOUTH
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:MN
Practice Address - Zip Code:55939-0145
Practice Address - Country:US
Practice Address - Phone:150-788-6646
Practice Address - Fax:507-886-6642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)