Provider Demographics
NPI:1912064825
Name:IND SCHOOL DIST 720
Entity Type:Organization
Organization Name:IND SCHOOL DIST 720
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:3RD PARTY BILLING COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIESER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-496-5052
Mailing Address - Street 1:505 HOLMES ST S
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-1344
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:952-496-5093
Practice Address - Street 1:505 HOLMES ST S
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1344
Practice Address - Country:US
Practice Address - Phone:952-496-5052
Practice Address - Fax:952-496-5093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)