Trio Wolf Creek Distance Learning Charter School #4095
Organization Active NPI Local Education Agency (LEA) · Lindstrom, MN
NPI 1679976559 · NPPES record last updated Oct 6, 2014
Key facts
- NPI
- 1679976559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- TRIO WOLF CREEK DISTANCE LEARNING CHARTER SCHOOL #4095
- Practice address
- 13750 Lake Blvd
Lindstrom, MN 55045-9361 - Phone
- (320) 358-1218
- Fax
- (320) 358-1250
- NPI assigned
- Oct 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Heide Miller, BUSINESS DEGREE
- Title
- Business Manager
- Phone
- (651) 213-2010
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- St Croix River Education District 6009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | MN | Yes |
Addresses
Primary practice location
13750 Lake Blvd
Lindstrom, MN 55045-9361
Mailing address
13750 Lake Blvd
Lindstrom, MN 55045-9361
Phone (651) 213-2095
Other names
- St Croix River Education District #6009
Other providers in Lindstrom, MN
- School of Health LLC
- St. Croix Regional Medical Center
- Matthew Struve
- Therapeutic Community Residence, Inc.
- Kyle Thielke
- Twinkle Toes, Corp.
- Virga Chiropractic Clinic PA
- Joseph Virga
- Kathleen Marie Virga
- Natalie Voxland
All providers in Lindstrom, MN · Local Education Agency (LEA) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.