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Ind School Dist No 561 Pennington & Marshall Cos

Ind School Dist No 561 Pennington & Marshall Cos is a health care provider in Goodridge, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Osmund Avenue, Goodridge, MN 56725, US
Practice Location Phone218-378-4134
Practice Location Fax
Legal Business NameIND SCHOOL DIST NO 561 PENNINGTON & MARSHALL COS
NPI ?1619192069
Entity TypeOrganization
Enumeration Date ? Apr 13, 2007
Last Update Date ? Jun 24, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ind School Dist No 561 Pennington & Marshall Cos

SpecialtySpecializationLicenseLicense State
Specialist

legacy-id-icon Legacy Provider IDs of Ind School Dist No 561 Pennington & Marshall Cos

Provider IdIssuer StateIssuer TypeIssuer
440055100MinnesotaMedicare Upin

official-icon Authorized Official of Ind School Dist No 561 Pennington & Marshall Cos

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ind School Dist No 561 Pennington & Marshall Cos's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Galen John Clow
Authorized Official Title/PositionSUPERINTENDENT
Authorized Official Phone Number218-378-4133