NPIMap

Organization Active NPI

Independent School District No 676

  • Specialist
  • Badger, MN
National Provider Identifier
1174748529
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INDEPENDENT SCHOOL DISTRICT NO 676
Practice address
110 Carpenter Avenue
Badger, MN 56714
Phone
(218) 528-3201
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Gwen Borgen
Title
Superintendent
Phone
(218) 528-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

110 Carpenter Avenue
Badger, MN 56714

Mailing address

110 Carpenter Avenue
PO Box 68
Badger, MN 56714
Phone (218) 528-3201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1174748529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CARPENTER AVENUE",
            "address_2": "PO BOX 68",
            "city": "BADGER",
            "state": "MN",
            "postal_code": "56714",
            "telephone_number": "218-528-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARPENTER AVENUE",
            "city": "BADGER",
            "state": "MN",
            "postal_code": "56714",
            "telephone_number": "218-528-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SCHOOL DISTRICT NO 676",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BORGEN",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "218-528-3201"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Badger, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.