Provider Demographics
NPI:1366633364
Name:RUBICON JT. 6 SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RUBICON JT. 6 SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANRAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-673-2920
Mailing Address - Street 1:N3501 COUNTY ROAD P
Mailing Address - Street 2:
Mailing Address - City:RUBICON
Mailing Address - State:WI
Mailing Address - Zip Code:53078-9702
Mailing Address - Country:US
Mailing Address - Phone:262-673-2920
Mailing Address - Fax:
Practice Address - Street 1:N3501 COUNTY ROAD P
Practice Address - Street 2:
Practice Address - City:RUBICON
Practice Address - State:WI
Practice Address - Zip Code:53078-9702
Practice Address - Country:US
Practice Address - Phone:262-673-2920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44227600Medicaid