Organization Active NPI

School District of Frederic

  • Local Education Agency (LEA)
  • Frederic, WI
National Provider Identifier
1043499734
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SCHOOL DISTRICT OF FREDERIC
Practice address
1437 Clam Falls Dr
Frederic, WI 54837-4547
Phone
(715) 327-5630
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerry Tischer
Title
District Administrator
Phone
(715) 327-5630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1437 Clam Falls Dr
Frederic, WI 54837-4547

Mailing address

1437 Clam Falls Dr
Frederic, WI 54837-4547
Phone (715) 327-5630

Other identifiers 1

IdentifierTypeStateIssuer
44237500MedicaidWI

National Provider Directory

National Provider Directory

Locations

1437 Clam Falls Dr
Frederic, WI 54837
Phone (715) 327-5630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1043499734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 CLAM FALLS DR",
            "city": "FREDERIC",
            "state": "WI",
            "postal_code": "548374547",
            "telephone_number": "715-327-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 CLAM FALLS DR",
            "city": "FREDERIC",
            "state": "WI",
            "postal_code": "548374547",
            "telephone_number": "715-327-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF FREDERIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "TISCHER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-327-5630"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44237500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederic, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.