Organization
ISD #2180
Active
Other names
MACCAY Public School
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M TISCHER (BUSINESS MANAGER)
(320) 367-2396
Entity
Organization
Contact information
Practice address
700 AGNES AVE, MAYNARD, MN 56260
(320) 367-2396
Mailing address
700 AGNES AVE, PO BOX 276, MAYNARD, MN 56260
(320) 367-2396
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687325100
MHCP
MN
Enumeration date
08/16/2007
Last updated
08/16/2007
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