South Shore School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOUTH SHORE SCHOOL DISTRICT

Practice address

9135 School Rd
Port Wing, WI 54865-5752

Phone

(715) 774-3500

Fax

(715) 774-3569

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Christianson

Title

District Administrator

Phone

(715) 774-3500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1679752398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "PORT WING",
            "state": "WI",
            "postal_code": "548650040",
            "telephone_number": "715-774-3500",
            "fax_number": "715-774-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SCHOOL RD",
            "city": "PORT WING",
            "state": "WI",
            "postal_code": "548655752",
            "telephone_number": "715-774-3500",
            "fax_number": "715-774-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-774-3500"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44230400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Lynn Anderson
• Eva Marie Gustafson, PT

• Local Education Agency (LEA) in Port Wing, WI
• Providers in Port Wing, 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 Oct 30, 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.