NPI Code Details Logo

NPI 1134301955

NPI 1134301955 : ELLSWORTH COMMUNITY SCHOOL DISTRICT : ELLSWORTH, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1134301955
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ELLSWORTH COMMUNITY SCHOOL DISTRICT 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/04/2007
-----------------------------------------------------
    Last Update Date     |    06/24/2008
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    300 HILLCREST ST BOX 1500
-----------------------------------------------------
    City                 |    ELLSWORTH
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    54011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    715-273-3900
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    300 HILLCREST ST BOX 1500
-----------------------------------------------------
    City                 |    ELLSWORTH
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    54011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    715-273-3900
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DISTRICT ADMINISTRATOR
-----------------------------------------------------
    Name                 |     DAN  KALER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    715-273-3900
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251300000X
-----------------------------------------------------
    Taxonomy Name        |    Local Education Agency (LEA)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.