Organization Active NPI

Kenyon-Wanamingo Isd 2172

  • Local Education Agency (LEA)
  • Wanamingo, MN
National Provider Identifier
1306998638
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KENYON-WANAMINGO ISD 2172
Practice address
225 3Rd Ave
Wanamingo, MN 55983-1452
Phone
(507) 824-2211
NPI assigned
Jan 17, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Jeff Evert
Title
Superintendent
Phone
(507) 284-2211

Specialties & licenses 1

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

Addresses

Primary practice location

225 3Rd Ave
Wanamingo, MN 55983-1452

Mailing address

225 3Rd Ave
Wanamingo, MN 55983-1452
Phone (507) 824-2211

Other identifiers 1

IdentifierTypeStateIssuer
240665900MedicaidMN

National Provider Directory

National Provider Directory

Locations

225 3rd Ave
Wanamingo, MN 55983
Phone (507) 273-9108

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1306998638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 3RD AVE",
            "city": "WANAMINGO",
            "state": "MN",
            "postal_code": "559831452",
            "telephone_number": "507-824-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 3RD AVE",
            "city": "WANAMINGO",
            "state": "MN",
            "postal_code": "559831452",
            "telephone_number": "507-824-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENYON-WANAMINGO ISD 2172",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "EVERT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "507-284-2211"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240665900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wanamingo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.