Crosslake Community School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CROSSLAKE COMMUNITY SCHOOL

Practice address

35808 County Road 66
Crosslake, MN 56442

Phone

(218) 692-5437

Fax

(218) 692-5437

NPI assigned

Nov 8, 2011

Last updated

Nov 12, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Locations

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1316224124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 OAK STREET",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-692-5437",
            "fax_number": "218-692-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35808 COUNTY ROAD 66",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "56442",
            "telephone_number": "218-692-5437",
            "fax_number": "218-692-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLAKE COMMUNITY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Behavioral Health PLLC
• Patricia Jo Brooks, MD
• Rachel Granfors, DPT
• Healthy Kids Consulting LLC
• Arika Lee Howard, DT
• Kappes Pharmaceutical LLC (Crosslake Drug)
• KC Companies of Crosslake, Inc. (Golden Horizons of Crosslake)

• Local Education Agency (LEA) in Crosslake, MN
• Providers in Crosslake, MN by specialty
• Local Education Agency (LEA) in Minnesota

• 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.

Verify at the official NPI Registry.