Organization Active NPI

Harris-Lake Park C.S.D.

  • Local Education Agency (LEA)
  • Lake Park, IA
National Provider Identifier
1205983541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
HARRIS-LAKE PARK C.S.D.
Practice address
905 South Market
Lake Park, IA 51347
Phone
(712) 832-3616
NPI assigned
Jan 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tim Christenson
Title
Superintendent
Phone
(712) 832-3616

Specialties & licenses 1

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

Addresses

Primary practice location

905 South Market
Lake Park, IA 51347

Mailing address

905 South Market
Lake Park, IA 51347
Phone (712) 832-3616

Other identifiers 1

IdentifierTypeStateIssuer
0427120MedicaidIA

National Provider Directory

National Provider Directory

Locations

905 S Market St
Lake Park, IA 51347
Phone (712) 832-3616

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205983541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SOUTH MARKET",
            "city": "LAKE PARK",
            "state": "IA",
            "postal_code": "51347",
            "telephone_number": "712-832-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SOUTH MARKET",
            "city": "LAKE PARK",
            "state": "IA",
            "postal_code": "51347",
            "telephone_number": "712-832-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS-LAKE PARK C.S.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "712-832-3616"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427120",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, IA

Sources for this page

  • 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.