Provider Demographics
NPI:1447329149
Name:IND SCHOOL DIST 717
Entity type:Organization
Organization Name:IND SCHOOL DIST 717
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAUZLARICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-492-6200
Mailing Address - Street 1:500 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352-1618
Mailing Address - Country:US
Mailing Address - Phone:952-492-6200
Mailing Address - Fax:
Practice Address - Street 1:500 SUNSET DR
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352-1618
Practice Address - Country:US
Practice Address - Phone:952-492-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherFEDERAL TAX I.D. NUMBER