Ind School Dist 624

LBN: Ind School Dist 624
Ind School Dist 624 is an health care organization with primary practice located at 4855 Bloom Ave , White Bear Lake MN 55110-2731. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Ind School Dist 624 can be contacted via phone (651) 407-7568, or through Pope, Elsa Mae via phone (651) 407-7550.

Contact Information

Primary practice address
4855 Bloom Ave White Bear Lake MN 55110-2731
Phone: (651) 407-7568
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pope, Elsa Mae
Phone: (651) 407-7550

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1770649915
LBN Legal business name Ind School Dist 624
DBA Doing business as
Authorized official Pope, Elsa Mae
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2006
Last updated Jul 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770649915 NPPES
Minnesota MEDICAID 530678700

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