Organization Active NPI

Maple Dale - Indian Hill School District

  • Local Education Agency (LEA)
  • Glendale, WI
National Provider Identifier
1225253859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MAPLE DALE - INDIAN HILL SCHOOL DISTRICT
Practice address
2600 W Mill Rd
Glendale, WI 53209-3212
Phone
(414) 351-7170
Fax
(414) 434-0109
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deb Cook-Westfahl
Title
Director of Spec. Ed Pupil Services
Phone
(414) 351-7170

Specialties & licenses 1

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

Addresses

Primary practice location

2600 W Mill Rd
Glendale, WI 53209-3212

Mailing address

2600 W Mill Rd
Glendale, WI 53209-3212
Phone (414) 351-7170

Other identifiers 1

IdentifierTypeStateIssuer
44234800MedicaidWI

National Provider Directory

National Provider Directory

Locations

2600 W Mill Rd
Glendale, WI 53209
Phone (414) 351-7160

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225253859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W MILL RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093212",
            "telephone_number": "414-351-7170",
            "fax_number": "414-434-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W MILL RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093212",
            "telephone_number": "414-351-7170",
            "fax_number": "414-434-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE DALE - INDIAN HILL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK-WESTFAHL",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "DIRECTOR OF SPEC. ED PUPIL SERVICES",
        "authorized_official_telephone_number": "414-351-7170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44234800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.