NPIMap

Organization Active NPI

Mondovi School District

  • Local Education Agency (LEA)
  • Mondovi, WI
National Provider Identifier
1346429958
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MONDOVI SCHOOL DISTRICT
Practice address
337 N Jackson St
Mondovi, WI 54755-1155
Phone
(715) 926-3684
Fax
(715) 926-3617
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Cheryl Gullicksrud
Title
Administrator
Phone
(715) 926-3684

Specialties & licenses 1

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

Addresses

Primary practice location

337 N Jackson St
Mondovi, WI 54755-1155

Mailing address

337 N Jackson St
Mondovi, WI 54755-1155
Phone (715) 926-3684

Other identifiers 1

IdentifierTypeStateIssuer
44233200MedicaidWI

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
52D2228970School District of Mondovi337 N Jackson Street, Mondovi, WI 54755Certificate of waiverJul 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Augusta School District22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

337 N Jackson St
Mondovi, WI 54755
Phone (715) 926-3645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "1346429958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 N JACKSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551155",
            "telephone_number": "715-926-3684",
            "fax_number": "715-926-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 N JACKSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551155",
            "telephone_number": "715-926-3684",
            "fax_number": "715-926-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONDOVI SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "GULLICKSRUD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-926-3684"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44233200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mondovi, WI

Sources for this page

  • 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.
  • 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.