Joint School District No 2 Co City & Town of Brillion
Organization Active NPI Local Education Agency (LEA) · Brillion, WI
NPI 1104005685 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1104005685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- JOINT SCHOOL DISTRICT NO 2 CO CITY & TOWN OF BRILLION
- Practice address
- 315 S Main Street
Brillion, WI 54110-1294 - Phone
- (920) 756-2368
- Fax
- (920) 756-3705
- NPI assigned
- Oct 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Dominick Madison
- Title
- District Administrator
- Phone
- (920) 756-2368
National Provider Directory
Locations
315 S Main St
Brillion, WI 54110
Phone (920) 756-2368
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Yes |
Addresses
Primary practice location
315 S Main Street
Brillion, WI 54110-1294
Mailing address
315 S Main Street
Brillion, WI 54110-1294
Phone (920) 756-2368
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44206300 | Medicaid | WI |
Other names
- Brillion Public Schools
Other providers in Brillion, WI
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- Micah Juedes
- Breanna Rose Kaiser
- Emma Knier
- Courtney Koffarnus
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All providers in Brillion, WI · Local Education Agency (LEA) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.