NPIMap

Organization Active NPI

Independent School District No 22

  • Local Education Agency (LEA)
  • Detroit Lakes, MN
National Provider Identifier
1104996784
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
498923600 Issued in MN
Legal business name
INDEPENDENT SCHOOL DISTRICT NO 22
Practice address
702 Lake Ave
Detroit Lakes, MN 56501-3016
Phone
(218) 847-9271
Fax
(218) 847-9273
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. Douglas James Froke
Title
Superintendent of Schools
Phone
(218) 847-9271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 498923600 MN Primary

Addresses

Primary practice location

702 Lake Ave
Detroit Lakes, MN 56501-3016

Mailing address

702 Lake Ave
PO Box 766
Detroit Lakes, MN 56501-3016
Phone (218) 847-9271

Other identifiers 1

IdentifierTypeStateIssuer
498923600OtherMNMA ID NUMBER

Other names 1

  • Detroit Lakes Public School ISD 22 Doing business as

National Provider Directory

National Provider Directory

Locations

702 Lake Ave
Detroit Lakes, MN 56501
Phone (218) 844-4181

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1104996784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 LAKE AVE",
            "address_2": "PO BOX 766",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013016",
            "telephone_number": "218-847-9271",
            "fax_number": "218-847-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 LAKE AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013016",
            "telephone_number": "218-847-9271",
            "fax_number": "218-847-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SCHOOL DISTRICT NO 22",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "FROKE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "218-847-9271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "498923600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA ID NUMBER",
            "identifier": "498923600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Lakes Public School ISD 22",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.