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NPI Code Detail

MEDICARE: HAMILTON SCHOOL DISTRICT

MEDICARE: HAMILTON 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
1251300000XLocal Education Agency (LEA)WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760607543
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMILTON SCHOOL DISTRICT
Provider Business Mailing Address
First Line : W220N6151 TOWN LINE RD
Second Line :
City : SUSSEX
State : WI
Zip : 53089-3923
Country : US
Telephone Number : 262-246-1973
Fax Number : 262-246-1815
Provider Business Practice Location Address
First Line : W220N6151 TOWN LINE RD
Second Line :
City : SUSSEX
State : WI
Zip : 53089-3923
Country : US
Telephone Number : 262-246-1973
Fax Number : 262-246-1815
Authorized Official
Title or Position : SUPERVISOR OF SPECIAL SERVICES
Name : MS. MARDI FREEMAN
Credential :
Telephone Number : 262-246-1973
Provider Enumeration Date : 04/16/2007
Last Update Date : 06/18/2008

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Practice Location Address:
W220N6151 TOWN LINE RD
SUSSEX, WI
53089-3923
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Practice Fax:
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1528658622 — NAOMI LYNN EYERS M.S., CCC-SLP
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SUSSEX, WI
53089-3923
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Practice Fax:
1932051588 — MRS. TRACY LYNN GORDON RN
Practice Location Address:
W220N6151 TOWN LINE RD
SUSSEX, WI
53089-3923
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Practice Fax: 262-246-1815
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Directions to “HAMILTON SCHOOL DISTRICT ” Practice Location

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