Ubah Medical Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

UBAH MEDICAL ACADEMY

Practice address

1600 Main Street
Hopkins, MN 55343

Phone

(952) 540-2942

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Bonnie P. Carlson

Title

Director of Special Education

Phone

(612) 824-1737

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1528325230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MAIN STREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "55343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MAIN STREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "952-540-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBAH MEDICAL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "612-824-1737"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Hopkins, MN
• Providers in Hopkins, 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 Feb 11, 2015; 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.