Organization Active NPI

School District of Independence

  • Local Education Agency (LEA)
  • Independence, WI
National Provider Identifier
1619140233
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SCHOOL DISTRICT OF INDEPENDENCE
Practice address
23786 Indee Blvd
Independence, WI 54747-9095
Phone
(715) 985-3172
Fax
(715) 985-2303
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Mr. Dave Laehn
Title
District Administrator
Phone
(715) 985-3172

Specialties & licenses 1

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

Addresses

Primary practice location

23786 Indee Blvd
Independence, WI 54747-9095

Mailing address

23786 Indee Blvd
Independence, WI 54747-9095
Phone (715) 985-3172

Other identifiers 1

IdentifierTypeStateIssuer
44214800MedicaidWI

National Provider Directory

National Provider Directory

Locations

23786 Indee Blvd
Independence, WI 54747
Phone (715) 985-3172

Practitioners & affiliated clinicians

Practitioners 1

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1619140233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23786 INDEE BLVD",
            "city": "INDEPENDENCE",
            "state": "WI",
            "postal_code": "547479095",
            "telephone_number": "715-985-3172",
            "fax_number": "715-985-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23786 INDEE BLVD",
            "city": "INDEPENDENCE",
            "state": "WI",
            "postal_code": "547479095",
            "telephone_number": "715-985-3172",
            "fax_number": "715-985-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "LAEHN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-985-3172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44214800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, WI

Sources for this page

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