Provider Demographics
NPI:1831254028
Name:LONG PRAIRIE GREY EAGLE PUBLIC SCHOOLS DISTRICT 2753
Entity type:Organization
Organization Name:LONG PRAIRIE GREY EAGLE PUBLIC SCHOOLS DISTRICT 2753
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-732-2194
Mailing Address - Street 1:205 2ND ST S
Mailing Address - Street 2:
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-1353
Mailing Address - Country:US
Mailing Address - Phone:320-732-2194
Mailing Address - Fax:320-732-3791
Practice Address - Street 1:205 2ND ST S
Practice Address - Street 2:
Practice Address - City:LONG PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56347-1353
Practice Address - Country:US
Practice Address - Phone:320-732-2194
Practice Address - Fax:320-732-3791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN667610300Medicaid