Organization Active NPI

Ind School Dist No 743

  • Local Education Agency (LEA)
  • Sauk Centre, MN
National Provider Identifier
1639235807
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
IND SCHOOL DIST NO 743
Practice address
903 State Rd
Sauk Centre, MN 56378-1672
Phone
(320) 352-6120
Fax
(320) 352-0296
NPI assigned
Dec 29, 2006
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. Douglas Millaway
Title
Director of Special Education
Phone
(320) 352-6120

Specialties & licenses 1

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

Addresses

Primary practice location

903 State Rd
Sauk Centre, MN 56378-1672

Mailing address

903 State Rd
Sauk Centre, MN 56378-1672
Phone (320) 352-2284

Other identifiers 1

IdentifierTypeStateIssuer
947355600MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1639235807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 STATE RD",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781672",
            "telephone_number": "320-352-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 STATE RD",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781672",
            "telephone_number": "320-352-6120",
            "fax_number": "320-352-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IND SCHOOL DIST NO 743",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MILLAWAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "320-352-6120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947355600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Centre, 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.