Organization Active NPI

Bultum Academy Charter School

  • Local Education Agency (LEA)
  • Columbia Heights, MN
National Provider Identifier
1396568952
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BULTUM ACADEMY CHARTER SCHOOL
Practice address
1555 40TH Ave NE
Columbia Heights, MN 55421-3103
Phone
(763) 450-3522
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Arif Bakar
Title
Director
Phone
(763) 568-4659

Specialties & licenses 1

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

Addresses

Primary practice location

1555 40TH Ave NE
Columbia Heights, MN 55421-3103

Mailing address

1555 40TH Ave NE
Columbia Heights, MN 55421-3103

National Provider Directory

National Provider Directory

Locations

1555 40th Ave NE
Minneapolis, MN 55421
Phone (763) 205-9950

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1396568952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213103",
            "telephone_number": "763-450-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULTUM ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "BAKAR",
        "authorized_official_first_name": "ARIF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-568-4659"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.