Provider Demographics
NPI:1083893960
Name:TOMAHAWK SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TOMAHAWK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-453-2126
Mailing Address - Street 1:1048 E KING RD
Mailing Address - Street 2:
Mailing Address - City:TOMAHAWK
Mailing Address - State:WI
Mailing Address - Zip Code:54487-1519
Mailing Address - Country:US
Mailing Address - Phone:715-453-2126
Mailing Address - Fax:715-453-5903
Practice Address - Street 1:1048 E KING RD
Practice Address - Street 2:
Practice Address - City:TOMAHAWK
Practice Address - State:WI
Practice Address - Zip Code:54487-1519
Practice Address - Country:US
Practice Address - Phone:715-453-2126
Practice Address - Fax:715-453-5903
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
WI44212700Medicaid