Organization Active NPI

School District of Marshfield

  • Local Education Agency (LEA)
  • Marshfield, WI
National Provider Identifier
1487833190
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
SCHOOL DISTRICT OF MARSHFIELD
Practice address
1010 E 4TH St
Marshfield, WI 54449-4538
Phone
(715) 387-1101
Fax
(715) 387-0133
NPI assigned
Oct 30, 2007
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
Mr. Jesse Jackson, ED. D.
Title
Director of Student Services
Phone
(715) 387-1101

Specialties & licenses 1

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

Addresses

Primary practice location

1010 E 4TH St
Marshfield, WI 54449-4538

Mailing address

1010 E 4TH St
Marshfield, WI 54449-4538
Phone (715) 387-1101

Other identifiers 1

IdentifierTypeStateIssuer
44209800MedicaidWI

National Provider Directory

National Provider Directory

Locations

1010 E 4th St
Marshfield, WI 54449
Phone (715) 387-1101

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1487833190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E 4TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494538",
            "telephone_number": "715-387-1101",
            "fax_number": "715-387-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 4TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494538",
            "telephone_number": "715-387-1101",
            "fax_number": "715-387-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF MARSHFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "715-387-1101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED. D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44209800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

Verify at the official NPI Registry.