ST. LOUIS & KOOCHICHING COS IND SCHOOL DIST 707 (NPI# 1821153347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821153347 |
Entity Type | Organization |
Organization Name | ST. LOUIS & KOOCHICHING COS IND SCHOOL DIST 707 |
Other Organization Name | NORTHLAND SPECIAL EDUCATION COOPERATIVE |
Practice Address |
13090 Westley Drive Nett Lake MN 55772-8122 |
Mailing Address |
1201 S 13th Ave Po Box 1286 Virginia MN 55792-3361 |
Practice Telephone | 2187573102 |
Practice Fax Number | 2187573330 |
Mailing Telephone | 2187415284 |
Mailing Fax Number | 2187415384 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2008-07-07 |
Authorized Official Name | MS. REGGIE ENGEBRITSON (DIRECTOR OF SPECIAL EDUCATION) |
Authorized Official Telephone | 2187415284 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | MN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MN-ITS USER ID | 676855500 | 01 |
Other Name | Type Code |
---|---|
Northland Special Education Cooperative | Other Name - Individual/Organization |
Street Address |
13090 WESTLEY DRIVE |
City | NETT LAKE |
State | MN |
Zip Code | 55772-8122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528288073 | Bois Forte Human Services | Social Worker | 13090 Westley Drive, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396286357 | Joe Witt | Psychologist | 5219 St. John Drive, Nett Lake, MN 55772 | 2017-03-10 |
1346600962 | Julie Corradi | Pharmacist | 5219 St. Johns Drive, Nett Lake, MN 55772 | 2016-02-24 |
1205134152 | Melissa Joan Grzybowski | Dietitian, Registered | 5219 St. John's Drive, Nett Lake, MN 55772 | 2011-03-02 |
1871713321 | Bois Forte Reservation Tribal Council | Clinic/Center | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
1972666469 | Bois Forte Medical Clinic | Clinic/Center | 5219 St John Dr, Nett Lake, MN 55772 | 2006-12-18 |
1073530150 | Bois Forte Reservation Tribal Government | Family Medicine | 5219 St. John Dr, Nett Lake, MN 55772 | 2006-07-16 |
1649270901 | Bois Forte Reservation Tribal Council | Community/Behavioral Health | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2005-07-28 |
1912170549 | Peggy J Hiestand Harri | Dietitian, Registered | 13071 Nett Lake Rd, Nett Lake, MN 55772 | 2008-04-03 |
1255815387 | Bois Forte Reservation Tribal Council | Non-emergency Medical Transport (VAN) | 5344 Lake Shore Dr, Nett Lake, MN 55772-1200 | 2018-09-25 |
1487629002 | Andrew Thomas Jones | Dentist | 5219 St John Drive, Nett Lake, MN 55772-8232 | 2006-02-17 |
Find all providers in zip 55772 |
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] |
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1902443286 | Modern Montessori Charter School | Local Education Agency (LEA) | 111 Dean Ave W, Champlin, MN 55316-1343 | 2019-12-05 |
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1396210761 | Phoenix Academy of Art and Science | Local Education Agency (LEA) | 38460 Lincoln Trl Ste 1, North Branch, MN 55056-5834 | 2018-10-11 |
1538649421 | Career Pathways | Local Education Agency (LEA) | 1355 Pierce Butler Rte, Saint Paul, MN 55104-1359 | 2018-08-20 |
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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.