NPIMap

Organization Active NPI

State of Minnesota

  • Local Education Agency (LEA)
  • Golden Valley, MN
National Provider Identifier
1699190405
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STATE OF MINNESOTA
Practice address
6125 Olson Memorial Hwy
Golden Valley, MN 55422-4918
Phone
(763) 279-4200
Fax
(763) 591-4646
NPI assigned
Mar 3, 2014
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Sue Macker
Title
Executive Director
Phone
(763) 279-4160

Specialties & licenses 1

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

Addresses

Primary practice location

6125 Olson Memorial Hwy
Golden Valley, MN 55422-4918

Mailing address

6125 Olson Memorial Hwy
Golden Valley, MN 55422-4918
Phone (763) 279-4200

Other names 1

  • Perpich Center for Arts Education Other name

National Provider Directory

National Provider Directory
Tax ID family
St Cloud State Univ HLT28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

6125 Olson Memorial Hwy
Golden Valley, MN 55422
Phone (763) 279-4200

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1699190405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 OLSON MEMORIAL HWY",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224918",
            "telephone_number": "763-279-4200",
            "fax_number": "763-591-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 OLSON MEMORIAL HWY",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224918",
            "telephone_number": "763-279-4200",
            "fax_number": "763-591-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "MACKER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-279-4160"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perpich Center for Arts Education",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.