Active NPI
Big Foot Union High School
- Local Education Agency (LEA)
- Walworth, WI
National Provider Identifier
1104007764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- BIG FOOT UNION HIGH SCHOOL
- Practice address
- 401 Devils LN
99
Walworth, WI 53184 - Phone
- (262) 275-2116
- Fax
- (262) 275-5117
- NPI assigned
- Nov 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dorothy Kaufmann
- Title
- Interim District Administrator
- Phone
- (262) 275-2116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
401 Devils LN
99
Walworth, WI 53184
Mailing address
401 Devils LN
PO Box 99
Walworth, WI 53184
Phone (262) 275-2116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44220400 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
401 Devils Ln
#99
Walworth, WI 53184
Phone (262) 275-2116
401 Devils Ln
Walworth, WI 53184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195776000000",
"number": "1104007764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 DEVILS LN",
"address_2": "PO BOX 99",
"city": "WALWORTH",
"state": "WI",
"postal_code": "53184",
"telephone_number": "262-275-2116",
"fax_number": "262-275-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 DEVILS LN",
"address_2": "99",
"city": "WALWORTH",
"state": "WI",
"postal_code": "53184",
"telephone_number": "262-275-2116",
"fax_number": "262-275-5117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG FOOT UNION HIGH SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-23",
"last_updated": "2007-11-23",
"status": "A",
"authorized_official_last_name": "KAUFMANN",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "INTERIM DISTRICT ADMINISTRATOR",
"authorized_official_telephone_number": "262-275-2116",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44220400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walworth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.