Organization
CANBY PUBLIC SCHOOLS ISD 891
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA RITTER (3RD PARTY BILLING ADMIN.)
(320) 269-9243
Entity
Organization
Contact information
Practice address
307 1ST ST W, CANBY, MN 56220-1411
(507) 223-5965
(507) 223-7536
Mailing address
306 N 1ST ST, MONTEVIDEO, MN 56265-1406
(320) 269-9243
(320) 269-7132
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601523900
—
MN
Enumeration date
09/15/2006
Last updated
06/11/2008
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