Organization Active NPI

Wild Rose School District

  • Local Education Agency (LEA)
  • Wild Rose, WI
National Provider Identifier
1265626675
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WILD ROSE SCHOOL DISTRICT
Practice address
600 Park Ave
Wild Rose, WI 54984-6902
Phone
(920) 622-4203
Fax
(920) 622-4604
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Claude Olson
Title
District Administrator
Phone
(920) 622-4203

Specialties & licenses 1

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

Addresses

Primary practice location

600 Park Ave
Wild Rose, WI 54984-6902

Mailing address

600 Park Ave
Wild Rose, WI 54984-6902

Other identifiers 1

IdentifierTypeStateIssuer
44228200MedicaidWI

National Provider Directory

National Provider Directory

Locations

600 Park Ave
Wild Rose, WI 54984
Phone (920) 622-4203

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1265626675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549846902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549846902",
            "telephone_number": "920-622-4203",
            "fax_number": "920-622-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROSE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "920-622-4203"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44228200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wild Rose, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.