Healthcare Provider Details

I. General information

NPI: 1497661482
Provider Name (Legal Business Name): MINOT PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 2ND ST SE
MINOT ND
58701-3924
US

IV. Provider business mailing address

215 2ND ST SE
MINOT ND
58701-3924
US

V. Phone/Fax

Practice location:
  • Phone: 701-857-4400
  • Fax:
Mailing address:
  • Phone: 701-857-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY LEDDON
Title or Position: SCHOOL MEDICAID ADMINISTRATOR
Credential:
Phone: 701-857-4447