Provider Demographics
NPI:1043490360
Name:SCHOOL DISTRICT OF ABBOTSFORD
Entity Type:Organization
Organization Name:SCHOOL DISTRICT OF ABBOTSFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:REED
Authorized Official - Middle Name:
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-223-6715
Mailing Address - Street 1:307 N 4TH ST
Mailing Address - Street 2:P.O. BOX 70
Mailing Address - City:ABBOTSFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54405-9572
Mailing Address - Country:US
Mailing Address - Phone:715-223-4281
Mailing Address - Fax:
Practice Address - Street 1:307 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ABBOTSFORD
Practice Address - State:WI
Practice Address - Zip Code:54405-9572
Practice Address - Country:US
Practice Address - Phone:715-223-4281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44211900Medicaid