Isd #516 Round Lake PS

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ISD #516 ROUND LAKE PS

Practice address

445 Harrison Street
Round Lake, MN 56167

Phone

(507) 945-8123

NPI assigned

Oct 11, 2012

Last updated

Oct 11, 2012By 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

Cornelius H Smit

Title

Superintendent

Phone

(507) 945-8123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1598017782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HARRISON STREET",
            "city": "ROUND LAKE",
            "state": "MN",
            "postal_code": "56167",
            "telephone_number": "507-945-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HARRISON STREET",
            "city": "ROUND LAKE",
            "state": "MN",
            "postal_code": "56167",
            "telephone_number": "507-945-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD #516 ROUND LAKE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "SMIT",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "507-945-8123"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.