St. Louis & Koochiching Cos Ind School Dist 707

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ST. LOUIS & KOOCHICHING COS IND SCHOOL DIST 707

Practice address

13090 Westley Drive
Nett Lake, MN 55772-8122

Phone

(218) 757-3102

Fax

(218) 757-3330

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Reggie Engebritson

Title

Director of Special Education

Phone

(218) 741-5284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northland Special Education Cooperative Other name

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1821153347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S 13TH AVE",
            "address_2": "PO BOX 1286",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923361",
            "telephone_number": "218-741-5284",
            "fax_number": "218-741-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 WESTLEY DRIVE",
            "city": "NETT LAKE",
            "state": "MN",
            "postal_code": "557728122",
            "telephone_number": "218-757-3102",
            "fax_number": "218-757-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS & KOOCHICHING COS IND SCHOOL DIST 707",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "ENGEBRITSON",
        "authorized_official_first_name": "REGGIE",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "218-741-5284",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-ITS USER ID",
            "identifier": "676855500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Special Education Cooperative",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bois Forte Reservation Tribal Government
• Melissa Joan Grzybowski
• Lance E Hardwig, P.A,
• Andrew Thomas Jones, DDS
• Julie Skoglund, PHARMD
• Shanna Rachelle Vidor, M.D.
• Joe Witt, LP

• Local Education Agency (LEA) in Nett Lake, MN
• Providers in Nett Lake, 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 7, 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.