Organization Active NPI

Ind School Dist 208

  • Local Education Agency (LEA)
  • Alexandria, MN
National Provider Identifier
1174680565
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
IND SCHOOL DIST 208
Practice address
1910 Aga Dr
Alexandria, MN 56308-1796
Phone
(320) 834-4084
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mr. Allan Jensen
Title
Superintendent
Phone
(218) 948-2241

Specialties & licenses 1

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

Addresses

Primary practice location

1910 Aga Dr
Alexandria, MN 56308-1796

Mailing address

PO Box 40
Evansville, MN 56326-0040

Other identifiers 1

IdentifierTypeStateIssuer
953178500MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1174680565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "EVANSVILLE",
            "state": "MN",
            "postal_code": "563260040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 AGA DR",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081796",
            "telephone_number": "320-834-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IND SCHOOL DIST 208",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "218-948-2241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "953178500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.