Active NPI
Ind School Dist 549
Doing business as Perham Dent Public School District
- Local Education Agency (LEA)
- Perham, MN
National Provider Identifier
1609930502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- IND SCHOOL DIST 549
- Doing business as
- Perham Dent Public School District
- Practice address
- 800 Coney Street W.
Perham, MN 56573 - Phone
- (218) 543-4501
- Fax
- (218) 346-6504
- NPI assigned
- Dec 22, 2006
- Last updated
- Dec 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitch Eric Anderson
- Title
- Superintendent
- Phone
- (218) 346-4501
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| School Social Worker | 1041S0200X | NU | ||
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
800 Coney Street W.
Perham, MN 56573
Mailing address
800 Coney Street W.
Perham, MN 56573
Phone (218) 543-4501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884625100 | Medicaid | MN |
Other names 1
- Perham Dent Public School District
National Provider Directory
National Provider Directory- Tax ID family
- Ind School Dist 549
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
800 Coney St W
Perham, MN 56573
Phone (218) 543-4501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1609930502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CONEY STREET W.",
"city": "PERHAM",
"state": "MN",
"postal_code": "56573",
"telephone_number": "218-543-4501",
"fax_number": "218-346-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CONEY STREET W.",
"city": "PERHAM",
"state": "MN",
"postal_code": "56573",
"telephone_number": "218-543-4501",
"fax_number": "218-346-6504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IND SCHOOL DIST 549",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MITCH",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "218-346-4501"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "884625100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Perham Dent Public School District",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Perham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.