Active NPI
Independent School District 484
- Local Education Agency (LEA)
- Pierz, MN
National Provider Identifier
1972513166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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.
-
- Speech-Language Pathologist
- Pierz, MN
- NPI 1992651210
National Provider Directory
Locations
112 Kamnic St
Pierz, MN 56364
Phone (320) 468-6458
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 897952900 | Medicaid | MN |
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.