Ind School District 630

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IND SCHOOL DISTRICT 630

Practice address

404 Champagne Ave SW
Red Lake Falls, MN 56750-0399

Phone

(218) 253-2139

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Joel Young

Title

Superintendent

Phone

(218) 253-2139

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1578643318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567500399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CHAMPAGNE AVE SW",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567500399",
            "telephone_number": "218-253-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IND SCHOOL DISTRICT 630",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "218-253-2139"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Body Health and Fitness PA
• Altru Health System (Altru Clinic - Red Lake Falls)
• Tia Michelle Gullickson, FNP-C
• Hillcrest Senior Living
• Inspire Independence Therapy LLC
• Jo Lambert
• Lesmeister Dental LLC (Lesmeister Dental)
• Red Lake County Social Services
• Red Lake Falls Volunteer Ambulance Association

• Local Education Agency (LEA) in Red Lake Falls, MN
• Providers in Red Lake Falls, 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 Jun 16, 2008; 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.