Healthcare Provider Details

I. General information

NPI: 1497928386
Provider Name (Legal Business Name): SCHOOL DISTRICT OF ALMA CENTER-HUMBIRD-MERRILLAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 S. SCHOOL STREET
ALMA CENTER WI
54611
US

IV. Provider business mailing address

124 S. SCHOOL STREET
ALMA CENTER WI
54611
US

V. Phone/Fax

Practice location:
  • Phone: 715-964-8271
  • Fax: 715-964-1005
Mailing address:
  • Phone: 715-964-8271
  • Fax: 715-964-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA REICHENBACH
Title or Position: BUSINESS OFFICIAL
Credential:
Phone: 715-964-8271