Organization Active NPI

Independent School District #435

  • Local Education Agency (LEA)
  • Waubun, MN
National Provider Identifier
1669554564
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
INDEPENDENT SCHOOL DISTRICT #435
Practice address
1013 3Rd St
Waubun, MN 56589
Phone
(218) 473-6171
Fax
(218) 473-6191
NPI assigned
Oct 19, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mr. Mitch Eric Anderson
Title
Superintendent
Phone
(218) 473-6171

Specialties & licenses 1

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

Addresses

Primary practice location

1013 3Rd St
Waubun, MN 56589

Mailing address

PO Box 98
Waubun, MN 56589
Phone (218) 473-6171

Other identifiers 1

IdentifierTypeStateIssuer
196663400MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1669554564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "WAUBUN",
            "state": "MN",
            "postal_code": "56589",
            "telephone_number": "218-473-6171",
            "fax_number": "218-473-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 3RD ST",
            "city": "WAUBUN",
            "state": "MN",
            "postal_code": "56589",
            "telephone_number": "218-473-6171",
            "fax_number": "218-473-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SCHOOL DISTRICT #435",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-07-31",
        "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": "218-473-6171",
        "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": "196663400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waubun, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.