Organization Active NPI

Northwest Passage High School

  • Local Education Agency (LEA)
  • Coon Rapids, MN
National Provider Identifier
1790062727
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
4322852 Issued in MN
Legal business name
NORTHWEST PASSAGE HIGH SCHOOL
Practice address
11345 Robinson Dr NW
Coon Rapids, MN 55433-4061
Phone
(763) 862-9223
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
James Steckart
Title
Director
Phone
(763) 862-9223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 4322852 MN Primary

Addresses

Primary practice location

11345 Robinson Dr NW
Coon Rapids, MN 55433-4061

Mailing address

11345 Robinson Dr NW
Coon Rapids, MN 55433-4061
Phone (763) 862-9223

Other identifiers 1

IdentifierTypeStateIssuer
4322852OtherMNMN STATE

National Provider Directory

National Provider Directory

Locations

11345 Robinson Dr NW
Coon Rapids, MN 55433
Phone (763) 862-9223

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1790062727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 ROBINSON DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334061",
            "telephone_number": "763-862-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 ROBINSON DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334061",
            "telephone_number": "763-862-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PASSAGE HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "STECKART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-862-9223"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "4322852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN STATE",
            "identifier": "4322852",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.