MEDICARE: FALL RIVER SCHOOL DISTRICT

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	:	1609060003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALL RIVER SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	150 BRADLEY STREET
Second Line	:
City	:	FALL RIVER
State	:	WI
Zip	:	53932
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 BRADLEY STREET
Second Line	:
City	:	FALL RIVER
State	:	WI
Zip	:	53932
Country	:	US
Telephone Number	:	920-484-3333
Fax Number	:	920-484-3600

Authorized Official
Title or Position	:	DISTRICT ADMINISTRATOR
Name	:	MRS. HEIDI SCHMIDT
Credential	:
Telephone Number	:	920-484-3333

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/29/2007

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Directions to “FALL RIVER SCHOOL DISTRICT ” Practice Location

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