Union Grove Elementary School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

UNION GROVE ELEMENTARY SCHOOL

Practice address

1745 Milldrum St
Union Grove, WI 53182-1763

Phone

(262) 878-2015

Fax

(262) 878-3133

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Gary Damaschke

Title

Administrator

Phone

(262) 878-2015

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1194904748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 MILLDRUM ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821763",
            "telephone_number": "262-878-2015",
            "fax_number": "262-878-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 MILLDRUM ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821763",
            "telephone_number": "262-878-2015",
            "fax_number": "262-878-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION GROVE ELEMENTARY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "DAMASCHKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-878-2015"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44242500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Union Grove, WI
• Providers in Union Grove, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.