Organization
GST MULTIDISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JOHANSEN (SECRETARY)
(701) 788-2004
Entity
Organization
Contact information
Practice address
600 ARNOLD AVE, PORTLAND, ND 58274-4032
(701) 788-2004
(701) 788-2802
Mailing address
600 ARNOLD AVE, PORTLAND, ND 58274-4032
(701) 788-2004
(701) 788-2802
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19024
—
ND
Enumeration date
03/13/2014
Last updated
03/13/2014
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