Provider Demographics
NPI:1083893952
Name:OREGON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:OREGON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DISTRICT ADMIN
Authorized Official - Phone:608-835-4000
Mailing Address - Street 1:123 E GROVE ST
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-1454
Mailing Address - Country:US
Mailing Address - Phone:608-835-4000
Mailing Address - Fax:608-835-9509
Practice Address - Street 1:123 E GROVE ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-1454
Practice Address - Country:US
Practice Address - Phone:608-835-4000
Practice Address - Fax:608-835-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44217200Medicaid