Organization Active NPI

School District of Plum City

  • Local Education Agency (LEA)
  • Plum City, WI
National Provider Identifier
1083893788
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 PLUM CITY
Practice address
907 Main St
Plum City, WI 54761-9013
Phone
(715) 647-2591
NPI assigned
Oct 30, 2007
Last updated
Jun 24, 2008By the provider in NPPES
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
Mark Luebker
Title
District Administrator
Phone
(715) 647-2591

Specialties & licenses 1

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

Addresses

Primary practice location

907 Main St
Plum City, WI 54761-9013

Mailing address

907 Main St
Plum City, WI 54761-9013
Phone (715) 647-2591

Other identifiers 1

IdentifierTypeStateIssuer
44239000MedicaidWI

National Provider Directory

National Provider Directory

Locations

907 Main St
Plum City, WI 54761
Phone (715) 647-2591

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": "1083893788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAIN ST",
            "city": "PLUM CITY",
            "state": "WI",
            "postal_code": "547619013",
            "telephone_number": "715-647-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAIN ST",
            "city": "PLUM CITY",
            "state": "WI",
            "postal_code": "547619013",
            "telephone_number": "715-647-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF PLUM CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LUEBKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-647-2591"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44239000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plum City, 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.