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NPI Code Detail

MEDICARE: SCHOOL DISTRICT OF CUBA CITY

MEDICARE: SCHOOL DISTRICT OF CUBA CITY
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
1347B00000XBus

General Provider Information

NPI Number : 1912173584
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHOOL DISTRICT OF CUBA CITY
Provider Business Mailing Address
First Line : 518 W ROOSEVELT ST
Second Line : 101 N. SCHOOL STREET
City : CUBA CITY
State : WI
Zip : 53807-1220
Country : US
Telephone Number : 608-744-2174
Fax Number : 608-744-7469
Provider Business Practice Location Address
First Line : 518 W ROOSEVELT ST
Second Line : 101 N. SCHOOL STREET
City : CUBA CITY
State : WI
Zip : 53807-1220
Country : US
Telephone Number : 608-744-2174
Fax Number : 608-744-7469
Authorized Official
Title or Position : SPECIAL EDUCATION DESIGNEE
Name : MS. DEB DURLEY
Credential :
Telephone Number : 608-744-2174
Provider Enumeration Date : 05/05/2008
Last Update Date : 05/05/2008

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Directions to “SCHOOL DISTRICT OF CUBA CITY ” Practice Location

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