Maple School District
Organization Active NPI Local Education Agency (LEA) · Maple, WI
NPI 1194906115 · NPPES record last updated Nov 19, 2007
Key facts
- NPI
- 1194906115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- MAPLE SCHOOL DISTRICT
- Practice address
- 4751 South High School Loop Road
Maple, WI 54854-0188 - Phone
- (715) 363-2431
- Fax
- (715) 363-2191
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Gregg Lundberg
- Title
- District Administrator
- Phone
- (715) 363-2431
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2337272 | Maple School District | Certificate of waiver | Jan 20, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Yes |
Addresses
Primary practice location
4751 South High School Loop Road
Maple, WI 54854-0188
Mailing address
PO Box 188
Maple, WI 54854-0188
Phone (715) 363-2431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44230600 | Medicaid | WI |
Other providers in Maple, WI
All providers in Maple, WI · Local Education Agency (LEA) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.