School District of Clear Lake

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SCHOOL DISTRICT OF CLEAR LAKE

Practice address

1101 3Rd St SW
Clear Lake, WI 54005-8511

Phone

(715) 263-2114

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Brad Ayer

Title

District Administrator

Phone

(715) 263-2114

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Elk Mound Area School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elk Mound Area School District

  • Local Education Agency (LEA)
  • Elk Mound, WI
  • NPI 1316126063
  NPD tax ID

Locations

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": "1952580730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 3RD ST SW",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540058511",
            "telephone_number": "715-263-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 3RD ST SW",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540058511",
            "telephone_number": "715-263-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF CLEAR LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "AYER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-263-2114"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44235400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Roots Family Spinal Care, LLC
• Northland Audiology LLC
• Paulson Chiropractic Clinic, LLC
• Bradley Alvin Paulson, DC
• Brent Richard Paulson, D.C.
• Village of Clear Lake (Clear Lake Area Ambulance Service)

• Local Education Agency (LEA) in Clear Lake, WI
• Providers in Clear Lake, 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 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.