Organization Active NPI

School District of Glenwood City

  • Local Education Agency (LEA)
  • Glenwood City, WI
National Provider Identifier
1770762460
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SCHOOL DISTRICT OF GLENWOOD CITY
Practice address
850 Maple St
Glenwood City, WI 54013-4346
Phone
(715) 265-4757
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Tim Emholtz
Title
District Administrator
Phone
(715) 265-4757

Specialties & licenses 1

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

Addresses

Primary practice location

850 Maple St
Glenwood City, WI 54013-4346

Mailing address

850 Maple St
Glenwood City, WI 54013-4346
Phone (715) 265-4757

Other identifiers 1

IdentifierTypeStateIssuer
44237400MedicaidWI

National Provider Directory

National Provider Directory

Locations

850 Maple St
Glenwood City, WI 54013
Phone (715) 265-4757

Practitioners & affiliated clinicians

Practitioners 1

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1770762460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MAPLE ST",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "540134346",
            "telephone_number": "715-265-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAPLE ST",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "540134346",
            "telephone_number": "715-265-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF GLENWOOD CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "EMHOLTZ",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-265-4757"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44237400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.