ST. LOUIS & KOOCHICHING COS IND SCHOOL DIST 707


Address: 13090 Westley Drive, Nett Lake, MN 55772-8122
Phone: 2187573102

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251300000X Local Education Agency (LEA) MN Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MN MN-ITS USER ID 676855500 01

Other Provider/Organization Names

Other Name Type Code
Northland Special Education Cooperative Other Name - Individual/Organization

Office Location

Street Address 13090 WESTLEY DRIVE
City NETT LAKE
State MN
Zip Code 55772-8122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528288073 Bois Forte Human Services Social Worker 13090 Westley Drive, Suite B, Nett Lake, MN 55772 2007-04-26

Providers in the same zip code

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 Information

Taxonomy Code 251300000X
Grouping Agencies
Classification Local Education Agency (LEA)

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649870056 Great Oaks Academy Local Education Agency (LEA) 6300 212th St W, Farmington, MN 55024-8903 2020-10-27
1417562117 The Journeys School Inc Local Education Agency (LEA) 775 Lexington Pkwy N, Saint Paul, MN 55104-1436 2020-09-10
1891303145 Skyline Math and Science Academy Local Education Agency (LEA) 2600 26th Ave S Ste 100, Minneapolis, MN 55406-4527 2020-07-22
1447878210 Minnesota Internship Center Local Education Agency (LEA) 511 Groveland Ave, Minneapolis, MN 55403-3223 2020-07-08
1902443286 Modern Montessori Charter School Local Education Agency (LEA) 111 Dean Ave W, Champlin, MN 55316-1343 2019-12-05
1235601121 St Croix River Education District Local Education Agency (LEA) 425 South Dana Ave, Rush City, MN 55069 2018-12-18
1174094601 Gateway Stem Academy Local Education Agency (LEA) 12119 16th Ave S, Burnsville, MN 55337-2982 2018-12-10
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
1316452436 Universal Academy Charter School Local Education Agency (LEA) 2919 26th Ave S, Minneapolis, MN 55406-2611 2017-12-12
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Competitor

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City NETT LAKE
Zip Code 55772

Improve Information

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Dataset Information

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.

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