Crow Wing County Ind School District 182

Organization Active NPI Local Education Agency (LEA) · Crosby, MN

NPI 1083700975 · NPPES record last updated Nov 12, 2020

Key facts

NPI
1083700975
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
CROW WING COUNTY IND SCHOOL DISTRICT 182
Practice address
711 Poplar St
Crosby, MN 56441-1135
Phone
(218) 546-5165
NPI assigned
Oct 5, 2006
Organization subpart
No

Authorized official

Name
Wanda Lane
Title
Third Party Administrator
Phone
(218) 454-5532

National Provider Directory

Locations

711 Poplar St
Crosby, MN 56441
Phone (218) 545-8801

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Yes

Addresses

Primary practice location

711 Poplar St
Crosby, MN 56441-1135

Mailing address

804 Oak Street
Brainerd, MN 56401

Other identifiers

IdentifierTypeStateIssuer
600975100MedicaidMN

Other providers in Crosby, MN

All providers in Crosby, MN · Local Education Agency (LEA) in Minnesota

Sources for this page

Verify at the official NPI Registry.