Black Hawk School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BLACK HAWK SCHOOL DISTRICT

Practice address

202 W Center St
South Wayne, WI 53587-9509

Phone

(608) 439-5400

Fax

(608) 439-1022

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Shetler

Title

Superintendent

Phone

(608) 439-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093933137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W CENTER ST",
            "city": "SOUTH WAYNE",
            "state": "WI",
            "postal_code": "535879509",
            "telephone_number": "608-439-5400",
            "fax_number": "608-439-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W CENTER ST",
            "city": "SOUTH WAYNE",
            "state": "WI",
            "postal_code": "535879509",
            "telephone_number": "608-439-5400",
            "fax_number": "608-439-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HAWK SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHETLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "608-439-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44239600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Jones

• Local Education Agency (LEA) in South Wayne, WI
• Providers in South Wayne, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.