Active NPI
Ind School Dist 208
- Local Education Agency (LEA)
- Alexandria, MN
National Provider Identifier
1174680565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953178500 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI 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.