Organization Active NPI

Marine Village School

  • Local Education Agency (LEA)
  • Marine on Saint Croix, MN
National Provider Identifier
1821852690
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MARINE VILLAGE SCHOOL
Practice address
550 Pine St
Marine on Saint Croix, MN 55047-4417
Phone
(651) 477-0380
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Kimberly Kokx
Title
Director
Phone
(651) 477-0380

Specialties & licenses 1

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

Addresses

Primary practice location

550 Pine St
Marine on Saint Croix, MN 55047-4417

Mailing address

550 Pine St
Marine on Saint Croix, MN 55047-4417

National Provider Directory

National Provider Directory

Locations

550 Pine St
Marine on Saint Croix, MN 55047
Phone (651) 477-0380

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1821852690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PINE ST",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550474417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PINE ST",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550474417",
            "telephone_number": "651-477-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE VILLAGE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "KOKX",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-477-0380"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine on Saint Croix, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.