Ind School Dist 728

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IND SCHOOL DIST 728

Practice address

815 Highway 10
Elk River, MN 55330-2549

Phone

(763) 241-3557

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carl Jacobia

Title

Director of Special Services

Phone

(763) 241-3557

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1598824716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 10",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302549",
            "telephone_number": "763-241-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 10",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302549",
            "telephone_number": "763-241-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IND SCHOOL DIST 728",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "JACOBIA",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "763-241-3557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "727255300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric R Hunter, D.D.S.
• Shahid Hussain, MD
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• Allison Elaine Ilstrup, DDS
• Laura Imig, MS, ATC
• Integrated Care Service
• Tiffany Marie Jacobs
• Kylie Hartigan Jacobsen, OD
• Kimberly S Jacobson, OTR/L
• Nicole Elizabeth Janovec

• Local Education Agency (LEA) in Elk River, MN
• Providers in Elk River, 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 17, 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.