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Organization

IND SCHOOL DIST 883

Active
Other names
ISD #883 Rockford
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE SMITH (SUPERINTENDENT)
(763) 477-9165
Entity
Organization

Contact information

Practice address
6051 ASH STREET, ROCKFORD, MN 55373-0009
(763) 477-9165
(763) 477-5833
Mailing address
PO BOX 9, ROCKFORD, MN 55373-0009
(763) 477-9165
(763) 477-5833

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
215612100
MEDICAL ASSISTANCE
MN
Enumeration date
11/30/2006
Last updated
06/25/2008
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