MEDICARE: DEERFIELD COMMUNITY SCHOOLS

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)

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	:	1598944233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEERFIELD COMMUNITY SCHOOLS

Provider Business Mailing Address
First Line	:	300 SIMONSON BLVD
Second Line	:
City	:	DEERFIELD
State	:	WI
Zip	:	53531-9543
Country	:	US
Telephone Number	:	608-764-5431
Fax Number	:	608-764-5433

Provider Business Practice Location Address
First Line	:	300 SIMONSON BLVD
Second Line	:
City	:	DEERFIELD
State	:	WI
Zip	:	53531-9543
Country	:	US
Telephone Number	:	608-764-5431
Fax Number	:	608-764-5433

Authorized Official
Title or Position	:	DIRECTOR OF PUPIL SERVICES
Name	:	MS. BARBARA NOLL CALLAHAN
Credential	:
Telephone Number	:	698-764-5431

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	10/30/2007

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Directions to “DEERFIELD COMMUNITY SCHOOLS ” Practice Location

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