Provider Demographics
NPI:1780740381
Name:NORTH BRANCH ISD 138
Entity type:Organization
Organization Name:NORTH BRANCH ISD 138
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SPECIAL ED
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKERLEG
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:651-674-1024
Mailing Address - Street 1:6644 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MN
Mailing Address - Zip Code:55056-7030
Mailing Address - Country:US
Mailing Address - Phone:651-674-1024
Mailing Address - Fax:
Practice Address - Street 1:6644 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MN
Practice Address - Zip Code:55056-7030
Practice Address - Country:US
Practice Address - Phone:651-674-1024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)