Prairie Du Chien Area School

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

PRAIRIE DU CHIEN AREA SCHOOL

Practice address

420 S Wacouta Ave
Prairie Du Chien, WI 53821-1924

Phone

(608) 326-8451

Fax

(608) 326-0000

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By 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

Vicki Waller

Title

District Bookkeeper

Phone

(608) 326-8451

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1144494923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S WACOUTA AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S WACOUTA AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211924",
            "telephone_number": "608-326-8451",
            "fax_number": "608-326-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE DU CHIEN AREA SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DISTRICT BOOKKEEPER",
        "authorized_official_telephone_number": "608-326-8451"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44204000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Ann Marie Pitzer, COTA,AND CNA
• Plaza Chiropractic Ctr
• Tammy L Plondke, NP
• Bruce Lee Pomerening, DDS
• Prairie Anesthesia Services SC
• Prairie Du Chien Memorial Hospital (Crossing Rivers Health)
• Prairie Du Chien Memorial Hospital Assoc Inc (Crossing Rivers Health Clinic)
• Prairie Du Chien Memorial Hospital Assoc Inc (Crossing Rivers Health)
• Prairie Du Chien Memorial Hospital Assoc Inc (Crossing Rivers Health Clinic)
• Prairie Du Chien Memorial Hospital Assoc Inc (Prairie Du Chien Memorial Hospital on Call Physicians)

• Student Health Clinic/Center in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• Student Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.