Provider Demographics
NPI:1326214784
Name:POTOSI SCHOOL DISTRICT
Entity Type:Organization
Organization Name:POTOSI SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-763-2162
Mailing Address - Street 1:128 US HIGHWAY 61 N
Mailing Address - Street 2:
Mailing Address - City:POTOSI
Mailing Address - State:WI
Mailing Address - Zip Code:53820-9502
Mailing Address - Country:US
Mailing Address - Phone:608-763-2162
Mailing Address - Fax:608-763-2035
Practice Address - Street 1:128 US HIGHWAY 61 N
Practice Address - Street 2:
Practice Address - City:POTOSI
Practice Address - State:WI
Practice Address - Zip Code:53820-9502
Practice Address - Country:US
Practice Address - Phone:608-763-2162
Practice Address - Fax:608-763-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44234400Medicaid