Blooming Prairie #756

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BLOOMING PRAIRIE #756

Practice address

202 4TH Ave NW
Blooming Prairie, MN 55917-1129

Phone

(507) 583-4426

Fax

(507) 583-7952

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Barry Olson

Title

Superintendent

Phone

(507) 583-4426

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Barb Buthe, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Blooming Prairie, MN
  • NPI 1649102328
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154400794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 4TH AVE NW",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "559171129",
            "telephone_number": "507-583-4426",
            "fax_number": "507-583-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 4TH AVE NW",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "559171129",
            "telephone_number": "507-583-4426",
            "fax_number": "507-583-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING PRAIRIE #756",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "507-583-4426"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Prairie Dental Center, PA
• Barb Buthe, M.S., CCC-SLP
• City of Blooming Prairie
• Chad Michael Eischens, D.C.
• Jonathan Robert Fabian, DDS

• Local Education Agency (LEA) in Blooming Prairie, MN
• Providers in Blooming Prairie, MN by specialty
• Local Education Agency (LEA) in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.