Organization Active NPI

Auburndale School District

  • Local Education Agency (LEA)
  • Auburndale, WI
National Provider Identifier
1659565091
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
AUBURNDALE SCHOOL DISTRICT
Practice address
10564 School Ave
Auburndale, WI 54412
Phone
(715) 652-2117
Fax
(715) 652-2836
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mr. Gerald Eichman
Title
District Administrator
Phone
(715) 652-2117

Specialties & licenses 1

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

Addresses

Primary practice location

10564 School Ave
Auburndale, WI 54412

Mailing address

10564 School Ave
Auburndale, WI 54412

Other identifiers 1

IdentifierTypeStateIssuer
44229700MedicaidWI

National Provider Directory

National Provider Directory

Locations

10564 School Ave
Auburndale, WI 54412
Phone (715) 652-2117

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1659565091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 SCHOOL AVE",
            "city": "AUBURNDALE",
            "state": "WI",
            "postal_code": "54412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 SCHOOL AVE",
            "city": "AUBURNDALE",
            "state": "WI",
            "postal_code": "54412",
            "telephone_number": "715-652-2117",
            "fax_number": "715-652-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURNDALE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "EICHMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-652-2117",
        "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": "44229700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.