Organization Active NPI

Counties of Pine & Aitkin-Willow River Isd #577

  • Local Education Agency (LEA)
  • Cloquet, MN
National Provider Identifier
1104980069
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
COUNTIES OF PINE & AITKIN-WILLOW RIVER ISD #577
Practice address
302 14TH St
Cloquet, MN 55720-2102
Phone
(218) 879-1283
Fax
(218) 879-1285
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Geri Fernjack
Title
Office Assistant Receptionist
Phone
(218) 879-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X MN Primary

Addresses

Primary practice location

302 14TH St
Cloquet, MN 55720-2102

Mailing address

302 14TH St
Cloquet, MN 55720-2102
Phone (218) 879-1283

Other names 1

  • Willow River ISD #577/Northern Lights Special Education Cooperative Other name

National Provider Directory

National Provider Directory

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": "1223942400000",
    "number": "1104980069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 14TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202102",
            "telephone_number": "218-879-1283",
            "fax_number": "218-879-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 14TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202102",
            "telephone_number": "218-879-1283",
            "fax_number": "218-879-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTIES OF PINE & AITKIN-WILLOW RIVER ISD #577",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "FERNJACK",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "OFFICE ASSISTANT RECEPTIONIST",
        "authorized_official_telephone_number": "218-879-1283"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow River ISD #577/Northern Lights Special Education Cooperative",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.