School District of Edgar

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SCHOOL DISTRICT OF EDGAR

Practice address

203 E Birch St
Edgar, WI 54426-9086

Phone

(715) 352-2351

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Lacke

Title

Administrator

Phone

(715) 352-2351

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1639358070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E BIRCH ST",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "544269086",
            "telephone_number": "715-352-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E BIRCH ST",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "544269086",
            "telephone_number": "715-352-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF EDGAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "LACKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-352-2351",
        "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": "44208600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina C Maguire
• Amy Marie McKibben, RN
• Quirt Family Dentistry, SC (Quirt Family Dentistry - Edgar)
• Jenna Riesen, M.S. CCC-SLP
• Stephanie Ann Rottscheit, M.S. CCC-SLP
• Sport & Spine Clinic LP (Sport & Spine Clinic of Edgar)
• Taryn Lynne Stittleburg, DC
• Thomas G Stoffel, MD
• Szmanda Dental Center, SC
• Kim Woller, RN

• Local Education Agency (LEA) in Edgar, WI
• Providers in Edgar, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.