Organization Active NPI

Independent School District 640

  • Local Education Agency (LEA)
  • Wabasso, MN
National Provider Identifier
1598820656
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
INDEPENDENT SCHOOL DISTRICT 640
Practice address
1333 May Street
Wabasso, MN 56293
Phone
(507) 342-5114
Fax
(507) 342-5203
NPI assigned
Dec 27, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Ted L. Suss
Title
Superintendent
Phone
(507) 342-5114

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1333 May Street
Wabasso, MN 56293

Mailing address

PO Box 69
1333 May St
Wabasso, MN 56293-0069
Phone (507) 342-5114

Other names 1

NPPES NPI Registry
  • Wabasso Public School Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2008.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1598820656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "address_2": "1333 MAY ST",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "562930069",
            "telephone_number": "507-342-5114",
            "fax_number": "507-342-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MAY STREET",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "56293",
            "telephone_number": "507-342-5114",
            "fax_number": "507-342-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SCHOOL DISTRICT 640",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "SUSS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "507-342-5114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabasso Public School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wabasso, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.