Organization Active NPI

Union Grove Union High School

  • Local Education Agency (LEA)
  • Union Grove, WI
National Provider Identifier
1811176464
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
UNION GROVE UNION HIGH SCHOOL
Practice address
3433 S Colony Ave
Union Grove, WI 53182-9601
Phone
(262) 878-2434
Fax
(262) 878-4056
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dave Magar
Title
Administrator
Phone
(262) 878-2434

Specialties & licenses 1

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

Addresses

Primary practice location

3433 S Colony Ave
Union Grove, WI 53182-9601

Mailing address

3433 S Colony Ave
Union Grove, WI 53182-9601
Phone (262) 878-2434

Other identifiers 1

IdentifierTypeStateIssuer
44242400MedicaidWI

National Provider Directory

National Provider Directory

Locations

3433 S Colony Ave
Union Grove, WI 53182
Phone (262) 878-2434

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1811176464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 S COLONY AVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829601",
            "telephone_number": "262-878-2434",
            "fax_number": "262-878-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 S COLONY AVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829601",
            "telephone_number": "262-878-2434",
            "fax_number": "262-878-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION GROVE UNION HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MAGAR",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-878-2434"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44242400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.