INTERMEDIATE DISTRICT 287 (NPI# 1417080730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417080730 |
| Entity Type | Organization |
| Organization Name | INTERMEDIATE DISTRICT 287 |
| Practice Address |
1820 Xenium Ln N Plymouth MN 55441-3708 |
| Practice Telephone | 7635507151 |
| Practice Fax Number | 7635507299 |
| Mailing Telephone | 7635507151 |
| Mailing Fax Number | 7635507299 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LAURA M KELLER-GAUTSCH (EXEC DIRECTOR OF SPECIAL EDUCATION) |
| Authorized Official Telephone | 7635507151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 4839391000 | 05 |
| Street Address |
1820 XENIUM LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346595949 | Christoffer Robert Berntsen | Audiologist | 1820 Xenium Ln N, Plymouth, MN 55441-3708 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346485380 | Plymouth-shiloh Local Schools | Local Education Agency (LEA) | 365 Sandusky St, Plymouth, OH 44865-1135 | 2008-12-04 |
| 1710166277 | Plymouth Joint School District | Local Education Agency (LEA) | 125 S Highland Ave, Plymouth, WI 53073-2566 | 2007-10-31 |
| 1013125426 | Ellsworth School District | Local Education Agency (LEA) | 47 Old Ward Bridge Rd, Plymouth, NH 03264-1230 | 2007-05-18 |
| 1073729281 | Wayzata Public Schools | Local Education Agency (LEA) | 305 Vicksburg Ln N, Plymouth, MN 55447-3941 | 2007-05-15 |
| 1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
| 1629282207 | Rumney School District | Local Education Agency (LEA) | 47 Old Ward Bridge Road, Rumney School District, Plymouth, NH 03264 | 2007-05-10 |
| 1588878169 | Pemi Baker Regional School District | Local Education Agency (LEA) | 86 Old Ward Bridge Road, Pemi Baker Regional School District, Plymouth, NH 03264 | 2007-05-10 |
| 1053532788 | Rising Tide Charter School | Local Education Agency (LEA) | 6 Resnik Rd, Plymouth, MA 02360-4873 | 2007-05-01 |
| 1295869162 | Town of Plymouth | Local Education Agency (LEA) | 253 S Meadow Rd, Plymouth, MA 02360-4739 | 2007-03-15 |
| 1376693150 | Plymouth Community School Corporation | Local Education Agency (LEA) | 611 Berkley St, Plymouth, IN 46563-1817 | 2007-01-12 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.