Organization Active NPI

Lake Holcombe School District

  • Local Education Agency (LEA)
  • Holcombe, WI
National Provider Identifier
1598944191
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
LAKE HOLCOMBE SCHOOL DISTRICT
Practice address
27331 262ND Ave
Holcombe, WI 54745-4505
Phone
(715) 595-4241
Fax
(715) 595-6383
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
Tom Goulet
Title
Administrator
Phone
(715) 595-4241

Specialties & licenses 1

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

Addresses

Primary practice location

27331 262ND Ave
Holcombe, WI 54745-4505

Mailing address

27331 262ND Ave
Holcombe, WI 54745-4505
Phone (715) 595-4241

Other identifiers 1

IdentifierTypeStateIssuer
44232900MedicaidWI

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

27331 262nd Ave
Holcombe, WI 54745
Phone (715) 595-4241

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1598944191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27331 262ND AVE",
            "city": "HOLCOMBE",
            "state": "WI",
            "postal_code": "547454505",
            "telephone_number": "715-595-4241",
            "fax_number": "715-595-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27331 262ND AVE",
            "city": "HOLCOMBE",
            "state": "WI",
            "postal_code": "547454505",
            "telephone_number": "715-595-4241",
            "fax_number": "715-595-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HOLCOMBE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-595-4241"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44232900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holcombe, 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.