Organization
IND SCHOOL DIST 465
Active
Other names
ISD #465 Litchfield
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WOLD DOCTOR (SUPERINTENDENT)
(320) 693-2444
Entity
Organization
Contact information
Practice address
114 N HOLCOMBE AVE, SUITE #100, LITCHFIELD, MN 55355-2210
(320) 693-2444
(320) 593-6528
Mailing address
114 N HOLCOMBE AVE, SUITE #100, LITCHFIELD, MN 55355-2210
(320) 693-2444
(320) 593-6528
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200678200
MEDICAL ASSISTANCE
MN
Enumeration date
11/29/2006
Last updated
06/18/2008
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