Provider Demographics
NPI:1003000696
Name:ALMOND BANCROFT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ALMOND BANCROFT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOXX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-366-2941
Mailing Address - Street 1:1336 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ALMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54909-9785
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1336 ELM ST
Practice Address - Street 2:
Practice Address - City:ALMOND
Practice Address - State:WI
Practice Address - Zip Code:54909-9785
Practice Address - Country:US
Practice Address - Phone:715-366-2941
Practice Address - Fax:715-366-2940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44229800Medicaid