Organization Active NPI

Superior School District

  • Local Education Agency (LEA)
  • Superior, WI
National Provider Identifier
1477732196
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SUPERIOR SCHOOL DISTRICT
Practice address
3025 Tower Ave
Superior, WI 54880-5369
Phone
(715) 394-8710
Fax
(715) 394-8708
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Jay Mitchell
Title
District Administrator
Phone
(715) 394-8710

Specialties & licenses 1

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

Addresses

Primary practice location

3025 Tower Ave
Superior, WI 54880-5369

Mailing address

3025 Tower Ave
Superior, WI 54880-5369
Phone (715) 394-8710

Other identifiers 1

IdentifierTypeStateIssuer
44231300MedicaidWI

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
52D2233586School District of Superior3025 Tower Ave, Superior, WI 54880Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory

Locations

3025 Tower Ave
Superior, WI 54880
Phone (715) 394-8700

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1477732196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805369",
            "telephone_number": "715-394-8710",
            "fax_number": "715-394-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805369",
            "telephone_number": "715-394-8710",
            "fax_number": "715-394-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-394-8710"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44231300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.