Organization Active NPI

Southwestern School District

  • Local Education Agency (LEA)
  • Hazel Green, WI
National Provider Identifier
1831365147
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SOUTHWESTERN SCHOOL DISTRICT
Practice address
1415 Fairplay St
Hazel Green, WI 53811-0368
Phone
(608) 854-2261
Fax
(608) 854-2315
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Jim Egan
Title
District Administrator
Phone
(608) 854-2261

Specialties & licenses 1

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

Addresses

Primary practice location

1415 Fairplay St
Hazel Green, WI 53811-0368

Mailing address

PO Box 368
Hazel Green, WI 53811-0368
Phone (608) 854-2261

Other identifiers 1

IdentifierTypeStateIssuer
44234600MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1831365147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "HAZEL GREEN",
            "state": "WI",
            "postal_code": "538110368",
            "telephone_number": "608-854-2261",
            "fax_number": "608-854-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FAIRPLAY ST",
            "city": "HAZEL GREEN",
            "state": "WI",
            "postal_code": "538110368",
            "telephone_number": "608-854-2261",
            "fax_number": "608-854-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "608-854-2261"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44234600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Green, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.