Hustisford School District

Organization Active NPI Local Education Agency (LEA) · Hustisford, WI

NPI 1366633430 · NPPES record last updated Aug 5, 2007

Key facts

NPI
1366633430
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
HUSTISFORD SCHOOL DISTRICT
Practice address
845 S Lake St
Hustisford, WI 53034-9790
Phone
(920) 349-8109
NPI assigned
Aug 5, 2007
Organization subpart
No

Authorized official

Name
Mr. Ed Van Ravenstein
Title
District Administrator
Phone
(920) 349-8109

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

845 S Lake St
Hustisford, WI 53034-9790

Mailing address

845 S Lake St
Hustisford, WI 53034-9790
Phone (920) 349-8109

Other identifiers

IdentifierTypeStateIssuer
44234000MedicaidWI

Other providers in Hustisford, WI

All providers in Hustisford, WI · Local Education Agency (LEA) in Wisconsin

Sources for this page

Verify at the official NPI Registry.