Healthcare Provider Details

I. General information

NPI: 1467643536
Provider Name (Legal Business Name): HORTONVILLE AREA SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 08/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 N OLK ST
HORTONVILLE WI
54944-9433
US

IV. Provider business mailing address

246 N OLK ST
HORTONVILLE WI
54944-9433
US

V. Phone/Fax

Practice location:
  • Phone: 920-779-7900
  • Fax:
Mailing address:
  • Phone: 920-779-7900
  • 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: MR. WILLIAM PRIJIC
Title or Position: DISTRICT ADMINISTRATOR
Credential:
Phone: 920-779-7900