Active NPI
Independent School Dist 181 Crow Wing County
- Local Education Agency (LEA)
- Brainerd, MN
National Provider Identifier
1215023197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- INDEPENDENT SCHOOL DIST 181 CROW WING COUNTY
- Practice address
- 804 Oak St
Brainerd, MN 56401-3755 - Phone
- (218) 822-6900
- NPI assigned
- Oct 5, 2006
- 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
- Wanda Lane
- Title
- Third Party Administrator
- Phone
- (218) 454-5532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
804 Oak St
Brainerd, MN 56401-3755
Mailing address
804 Oak Street
Brainerd, MN 56401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197755500 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
315 Charles St
Brainerd, MN 56401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605139200000",
"number": "1215023197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 OAK STREET",
"city": "BRAINERD",
"state": "MN",
"postal_code": "56401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 OAK ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564013755",
"telephone_number": "218-822-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT SCHOOL DIST 181 CROW WING COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
"authorized_official_telephone_number": "218-454-5532"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197755500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.