Organization Active NPI

Randall Joint #1 School District

  • Local Education Agency (LEA)
  • Burlington, WI
National Provider Identifier
1689853657
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
RANDALL JOINT #1 SCHOOL DISTRICT
Practice address
37101 87TH St
Burlington, WI 53105-8596
Phone
(262) 537-2211
Fax
(262) 537-2280
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Steven Bloom
Title
District Administrator
Phone
(262) 537-2211

Specialties & licenses 1

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

Addresses

Primary practice location

37101 87TH St
Burlington, WI 53105-8596

Mailing address

37101 87TH St
Burlington, WI 53105-8596
Phone (262) 537-2211

Other identifiers 1

IdentifierTypeStateIssuer
44206600MedicaidWI

National Provider Directory

National Provider Directory

Locations

37101 87th St
Burlington, WI 53105
Phone (262) 537-2211

Practitioners & affiliated clinicians

Practitioners 3

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": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1689853657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37101 87TH ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531058596",
            "telephone_number": "262-537-2211",
            "fax_number": "262-537-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37101 87TH ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531058596",
            "telephone_number": "262-537-2211",
            "fax_number": "262-537-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL JOINT #1 SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "262-537-2211",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44206600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.