River Ridge School District
Organization Active NPI Local Education Agency (LEA) · Patch Grove, WI
NPI 1104077411 · NPPES record last updated Oct 6, 2008
Key facts
- NPI
- 1104077411
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- License
- 4904 (WI)
- Legal business name
- RIVER RIDGE SCHOOL DISTRICT
- Practice address
- 11165 County Hwy P
Box 78
Patch Grove, WI 53817-0078 - Phone
- (608) 994-2715
- Fax
- (608) 994-2891
- NPI assigned
- Oct 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Mezera, M.S.E.
- Title
- School Psychologist
- Phone
- (608) 994-2715
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 4904 | WI | Yes |
Addresses
Primary practice location
11165 County Hwy P
Box 78
Patch Grove, WI 53817-0078
Mailing address
11165 County Hwy P
Box 78
Patch Grove, WI 53817-0078
Phone (608) 994-2715
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 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.