21St Century Preparatory School
Organization Active NPI Local Education Agency (LEA) · Racine, WI
NPI 1679752018 · NPPES record last updated Nov 2, 2007
Key facts
- NPI
- 1679752018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- 21ST CENTURY PREPARATORY SCHOOL
- Practice address
- 1220 Mound Ave
Racine, WI 53404-3350 - Phone
- (262) 598-0026
- Fax
- (262) 598-0031
- NPI assigned
- Nov 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Morelan
- Title
- Superintendent
- Phone
- (262) 598-0026
National Provider Directory
Locations
1220 Mound Ave
Racine, WI 53404
Phone (262) 598-0026
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Yes |
Addresses
Primary practice location
1220 Mound Ave
Racine, WI 53404-3350
Mailing address
1220 Mound Ave
Racine, WI 53404-3350
Phone (262) 598-0026
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44222000 | Medicaid | WI |
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All providers in Racine, WI · Local Education Agency (LEA) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.