NPIMap

Organization Active NPI

Mille Lacs Isanti & Sherburne Cos

Doing business as Independent School District #477 - Princeton Public Schools

  • State or Local Public Health Clinic/Center
  • Princeton, MN
National Provider Identifier
1447093927
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MILLE LACS ISANTI & SHERBURNE COS
Doing business as
Independent School District #477 - Princeton Public Schools
Practice address
706 1St St
Princeton, MN 55371-1502
Phone
(763) 389-6195
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Nicole K WyganowskiNPI 1720701709
Title
LSN
Phone
(612) 419-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

706 1St St
Princeton, MN 55371-1502

Mailing address

706 1St St
Princeton, MN 55371-1502
Phone (763) 389-6195

Other names 1

  • Independent School District #477 - Princeton Public Schools Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Independent School District 477 - Princeton Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

706 1st St
Princeton, MN 55371
Phone (763) 389-2422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1447093927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 1ST ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711502",
            "telephone_number": "763-389-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 1ST ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711502",
            "telephone_number": "763-389-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLE LACS ISANTI & SHERBURNE COS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "WYGANOWSKI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LSN",
        "authorized_official_telephone_number": "612-419-0211"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent School District #477 - Princeton Public Schools",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.