Organization Active NPI

Marine Area Community School

  • Local Education Agency (LEA)
  • Marine on Saint Croix, MN
National Provider Identifier
1306357710
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MARINE AREA COMMUNITY SCHOOL
Practice address
14189 Ostlund TRL N
Marine on Saint Croix, MN 55047-4419
Phone
(651) 409-3122
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Drew Goodson
Title
School Administrator
Phone
(651) 409-3122

Specialties & licenses 1

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

Addresses

Primary practice location

14189 Ostlund TRL N
Marine on Saint Croix, MN 55047-4419

Mailing address

14189 Ostlund TRL N
Marine on Saint Croix, MN 55047-4419

National Provider Directory

National Provider Directory

Locations

14189 Ostlund Trl N
Marine on Saint Croix, MN 55047
Phone (651) 409-3122

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1306357710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14189 OSTLUND TRL N",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550474419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14189 OSTLUND TRL N",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550474419",
            "telephone_number": "651-409-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE AREA COMMUNITY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "GOODSON",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "SCHOOL ADMINISTRATOR",
        "authorized_official_telephone_number": "651-409-3122"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine on Saint Croix, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.