NPIMap

Organization Active NPI

Ind School Dist No 561 Pennington & Marshall Cos

  • Specialist
  • Goodridge, MN
National Provider Identifier
1619192069
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
IND SCHOOL DIST NO 561 PENNINGTON & MARSHALL COS
Practice address
Osmund Avenue
Goodridge, MN 56725
Phone
(218) 378-4134
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Galen John Clow
Title
Superintendent
Phone
(218) 378-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

Osmund Avenue
Goodridge, MN 56725

Mailing address

PO Box 195
Osmund Avenue
Goodridge, MN 56725
Phone (218) 378-4134

National Provider Directory

National Provider Directory
Tax ID family
Goodridge School District 5612 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1619192069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "address_2": "OSMUND AVENUE",
            "city": "GOODRIDGE",
            "state": "MN",
            "postal_code": "56725",
            "telephone_number": "218-378-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OSMUND AVENUE",
            "city": "GOODRIDGE",
            "state": "MN",
            "postal_code": "56725",
            "telephone_number": "218-378-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IND SCHOOL DIST NO 561 PENNINGTON & MARSHALL COS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "GALEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "218-378-4133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.