Organization Active NPI

Randolph School District 195

  • Local Education Agency (LEA)
  • Randolph, MN
National Provider Identifier
1245637552
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
RANDOLPH SCHOOL DISTRICT 195
Practice address
29110 Davisson Ave
Randolph, MN 55065-7803
Phone
(507) 645-7409
Fax
(507) 645-5950
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Michael Kelley
Title
Superintendent
Phone
(507) 645-7409

Specialties & licenses 1

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

Addresses

Primary practice location

29110 Davisson Ave
Randolph, MN 55065-7803

Mailing address

29110 Davisson Ave
Randolph, MN 55065-7803
Phone (507) 645-7409

National Provider Directory

National Provider Directory

Locations

29110 Davisson Ave
Randolph, MN 55065
Phone (507) 645-4773

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1245637552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29110 DAVISSON AVE",
            "city": "RANDOLPH",
            "state": "MN",
            "postal_code": "550657803",
            "telephone_number": "507-645-7409",
            "fax_number": "507-645-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29110 DAVISSON AVE",
            "city": "RANDOLPH",
            "state": "MN",
            "postal_code": "550657803",
            "telephone_number": "507-645-7409",
            "fax_number": "507-645-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH SCHOOL DISTRICT 195",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "507-645-7409"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.