Organization Active NPI

Pittsville Public School

  • Local Education Agency (LEA)
  • Pittsville, WI
National Provider Identifier
1295901882
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PITTSVILLE PUBLIC SCHOOL
Practice address
5459 Elementary Ave
Suite 2
Pittsville, WI 54466-9550
Phone
(715) 884-6694
Fax
(715) 884-5218
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mr. Jeffrey S Gast
Title
Finance Director
Phone
(715) 884-5221

Specialties & licenses 1

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

Addresses

Primary practice location

5459 Elementary Ave
Suite 2
Pittsville, WI 54466-9550

Mailing address

5459 Elementary Ave
Suite 2
Pittsville, WI 54466-9550
Phone (715) 884-6694

Other identifiers 1

IdentifierTypeStateIssuer
44208500MedicaidWI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2271248Pittsville School5459 Elementary Ave, Pittsville, WI 54466Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

5459 Elementary Ave
#2
Pittsville, WI 54466
Phone (715) 884-6694

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1295901882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5459 ELEMENTARY AVE",
            "address_2": "SUITE 2",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669550",
            "telephone_number": "715-884-6694",
            "fax_number": "715-884-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5459 ELEMENTARY AVE",
            "address_2": "SUITE 2",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669550",
            "telephone_number": "715-884-6694",
            "fax_number": "715-884-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSVILLE PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "715-884-5221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44208500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.