Ind School Dist No 803 - Traverse Co

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IND SCHOOL DIST NO 803 - TRAVERSE CO

Practice address

1700 3Rd Ave S
Wheaton, MN 56296-1696

Phone

(320) 563-8282

Fax

(320) 563-4218

NPI assigned

Nov 14, 2006

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Posthumus

Title

Superintendent

Phone

(320) 563-8282

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wheaton Public Schools ISD 803 Other name

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1801968938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 3RD AVE S",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961696",
            "telephone_number": "320-563-8282",
            "fax_number": "320-563-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 3RD AVE S",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961696",
            "telephone_number": "320-563-8282",
            "fax_number": "320-563-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IND SCHOOL DIST NO 803 - TRAVERSE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "POSTHUMUS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "320-563-8282",
        "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": "769455500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheaton Public Schools ISD 803",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alan B. Hodenfield, O.T.
• Amy M. Hodenfield, O.T.
• Paige Elizabeth Jenson, PA
• Kathi Jo Kremer, C.F.N.P.
• George H Kuzma, MD
• Lake Valley Dental PLLC
• Legacy Senior Services (Traverse Care Center)

• Local Education Agency (LEA) in Wheaton, MN
• Providers in Wheaton, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.