Organization Active NPI

School District of Black River Falls

  • Local Education Agency (LEA)
  • Black River Falls, WI
National Provider Identifier
1568635274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SCHOOL DISTRICT OF BLACK RIVER FALLS
Practice address
301 N 4TH St
Black River Falls, WI 54615-1227
Phone
(715) 284-4357
Fax
(715) 284-7064
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Jill M Collins
Title
Director of Business Services
Phone
(715) 284-4357

Specialties & licenses 1

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

Addresses

Primary practice location

301 N 4TH St
Black River Falls, WI 54615-1227

Mailing address

301 N 4TH St
Black River Falls, WI 54615-1227
Phone (715) 284-4357

Other identifiers 1

IdentifierTypeStateIssuer
44214400MedicaidWI

National Provider Directory

National Provider Directory

Locations

301 N 4th St
Black River Falls, WI 54615
Phone (715) 284-4357

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568635274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 4TH ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151227",
            "telephone_number": "715-284-4357",
            "fax_number": "715-284-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 4TH ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151227",
            "telephone_number": "715-284-4357",
            "fax_number": "715-284-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF BLACK RIVER FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "715-284-4357",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44214400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.