Organization Active NPI

Johnson Creek School District

  • Local Education Agency (LEA)
  • Johnson Creek, WI
National Provider Identifier
1174703029
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JOHNSON CREEK SCHOOL DISTRICT
Practice address
111 South St
Johnson Creek, WI 53038-9702
Phone
(920) 699-2811
Fax
(920) 699-2801
NPI assigned
Nov 8, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Michael Garvey
Title
District Superintendent
Phone
(920) 699-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

111 South St
Johnson Creek, WI 53038-9702

Mailing address

111 South St
PO Box 39
Johnson Creek, WI 53038-9702
Phone (920) 699-2811

Other identifiers 1

IdentifierTypeStateIssuer
44216900MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1174703029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTH ST",
            "address_2": "PO BOX 39",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389702",
            "telephone_number": "920-699-2811",
            "fax_number": "920-699-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH ST",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389702",
            "telephone_number": "920-699-2811",
            "fax_number": "920-699-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CREEK SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DISTRICT SUPERINTENDENT",
        "authorized_official_telephone_number": "920-699-2811",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44216900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.