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Isd 2164

Isd 2164 is a health care provider in Dilworth, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 108 Main Street North, Dilworth, MN 56529, US
Practice Location Phone218-287-2371
Practice Location Fax
Legal Business NameISD 2164
NPI ?1033279724
Entity TypeOrganization
Enumeration Date ? Dec 11, 2006
Last Update Date ? Aug 11, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Isd 2164

SpecialtySpecializationLicenseLicense State
Local Education Agency (LEA) 1649373Minnesota

legacy-id-icon Legacy Provider IDs of Isd 2164

Provider IdIssuer StateIssuer TypeIssuer
460070300MinnesotaOtherMHCP PROVIDER NUMBER

official-icon Authorized Official of Isd 2164

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Isd 2164's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Randy Bruer
Authorized Official Title/PositionSUPERINTENDENT
Authorized Official Phone Number218-287-2371