NPIMap

Organization Active NPI

Medford School District

  • Local Education Agency (LEA)
  • Medford, WI
National Provider Identifier
1366621971
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
MEDFORD SCHOOL DISTRICT
Practice address
124 W State St
Medford, WI 54451-1760
Phone
(715) 748-4620
Fax
(715) 748-6839
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
Steve Russ
Title
Administrator
Phone
(715) 748-4620

Specialties & licenses 1

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

Addresses

Primary practice location

124 W State St
Medford, WI 54451-1760

Mailing address

124 W State St
Medford, WI 54451-1760
Phone (715) 748-4620

Other identifiers 1

IdentifierTypeStateIssuer
44233100MedicaidWI

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

124 W State St
Medford, WI 54451
Phone (715) 748-4620

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": "1366621971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W STATE ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511760",
            "telephone_number": "715-748-4620",
            "fax_number": "715-748-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W STATE ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511760",
            "telephone_number": "715-748-4620",
            "fax_number": "715-748-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-748-4620"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44233100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.