Organization Active NPI

Independent School District 484

  • Local Education Agency (LEA)
  • Pierz, MN
National Provider Identifier
1972513166
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
INDEPENDENT SCHOOL DISTRICT 484
Practice address
112 Kamnic St
Pierz, MN 56364-4000
Phone
(320) 468-6458
Fax
(320) 468-6408
NPI assigned
Aug 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Earl V. Athman
Title
Business Manager
Phone
(320) 468-6458

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

112 Kamnic St
Pierz, MN 56364
Phone (320) 468-6458

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X MN Primary

Addresses

NPPES NPI Registry

Primary practice location

112 Kamnic St
Pierz, MN 56364-4000

Mailing address

112 Kamnic St
Pierz, MN 56364-4000
Phone (320) 468-6458

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
897952900MedicaidMN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2008.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1972513166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KAMNIC ST",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563644000",
            "telephone_number": "320-468-6458",
            "fax_number": "320-468-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KAMNIC ST",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563644000",
            "telephone_number": "320-468-6458",
            "fax_number": "320-468-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SCHOOL DISTRICT 484",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ATHMAN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "320-468-6458"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897952900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierz, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.