MEDICARE: INTERMEDIATE SCHOOL DISTRICT 917

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346331469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERMEDIATE SCHOOL DISTRICT 917

Provider Business Mailing Address
First Line	:	1300 145TH ST E
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-2932
Country	:	US
Telephone Number	:	651-423-8000
Fax Number	:	651-423-8776

Provider Business Practice Location Address
First Line	:	1300 145TH ST E
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-2932
Country	:	US
Telephone Number	:	651-423-8000
Fax Number	:	651-423-8776

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	JOHN M CHRISTIANSEN
Credential	:
Telephone Number	:	651-423-8226

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	06/23/2008

Similar Medicare Providers

1588530125 — CHRISTINA TUOHY
Practice Location Address:

1300 145TH ST E
ROSEMOUNT, MN
55068-2932

Practice Phone: 651-423-8229
Practice Fax:

1730036849 — KAITLYN JEAN JENNE
Practice Location Address:

1199 APPLEWOOD CT
ROSEMOUNT, MN
55068-6206

Practice Phone: 612-300-0825
Practice Fax:

1487501987 — PATHWAY HOUSING SERVICES
Practice Location Address:

13804 ADAN AVE
ROSEMOUNT, MN
55068-3171

Practice Phone: 612-472-5112
Practice Fax:

1396497954 — JANETTE JORGENSEN DRISCOLL MS
Practice Location Address:

15265 CARROUSEL WAY
ROSEMOUNT, MN
55068-1760

Practice Phone: 952-443-4600
Practice Fax:

1063400901 — DR. MARK JOHN NELSON DDS
Practice Location Address:

14450 S ROBER TR , DAKOTA DENTAL AND IMPLANT CENTER
ROSEMOUNT, MN
55068

Practice Phone: 651-423-1181
Practice Fax:

1871564195 — KERRY GWEN JOHNSON WINTERS DDS
Practice Location Address:

3410 151ST ST W
ROSEMOUNT, MN
55068-1755

Practice Phone: 651-322-5788
Practice Fax: 651-322-4257

Directions to “INTERMEDIATE SCHOOL DISTRICT 917 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.