Active NPI
Warroad School District
- Local Education Agency (LEA)
- Warroad, MN
National Provider Identifier
1083778070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- WARROAD SCHOOL DISTRICT
- Practice address
- 510 Cedar Ave NW
Warroad, MN 56763-2708 - Phone
- (218) 386-1472
- NPI assigned
- Dec 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Oftedahl
- Title
- Superintendent
- Phone
- (218) 386-1472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | MN | Primary |
Addresses
Primary practice location
510 Cedar Ave NW
Warroad, MN 56763-2708
Mailing address
510 Cedar Ave NW
Warroad, MN 56763-2708
Phone (218) 386-1472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5300355000 | Medicaid | MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2235072 | Warroad School District 690 | Certificate of waiver | Sep 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
510 Cedar Ave NW
Warroad, MN 56763
Phone (218) 386-1472
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Occupational Therapist
- Warroad, MN
- NPI 1194662668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083778070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 CEDAR AVE NW",
"city": "WARROAD",
"state": "MN",
"postal_code": "567632708",
"telephone_number": "218-386-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CEDAR AVE NW",
"city": "WARROAD",
"state": "MN",
"postal_code": "567632708",
"telephone_number": "218-386-1472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARROAD SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OFTEDAHL",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "218-386-1472",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5300355000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warroad, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.