Organization Active NPI

Edgerton Community Schools

  • Local Education Agency (LEA)
  • Edgerton, WI
National Provider Identifier
1609055235
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EDGERTON COMMUNITY SCHOOLS
Practice address
200 Elm High Dr
Edgerton, WI 53534-1498
Phone
(608) 884-9402
Fax
(608) 884-9327
NPI assigned
Oct 31, 2007
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Norman L Fjelstad
Title
District Administrator
Phone
(608) 884-9402

Specialties & licenses 1

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

Addresses

Primary practice location

200 Elm High Dr
Edgerton, WI 53534-1498

Mailing address

200 Elm High Dr
Edgerton, WI 53534-1498
Phone (608) 884-9402

Other identifiers 1

IdentifierTypeStateIssuer
44210300MedicaidWI

National Provider Directory

National Provider Directory

Locations

200 Elm High Dr
Edgerton, WI 53534
Phone (608) 359-6659

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": "1220400000000",
    "number": "1609055235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM HIGH DR",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341498",
            "telephone_number": "608-884-9402",
            "fax_number": "608-884-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM HIGH DR",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341498",
            "telephone_number": "608-884-9402",
            "fax_number": "608-884-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGERTON COMMUNITY SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "FJELSTAD",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "608-884-9402",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44210300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgerton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.