Provider Demographics
NPI:1417120429
Name:WHITEWATER UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WHITEWATER UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-472-8708
Mailing Address - Street 1:419 S ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:WHITEWATER
Mailing Address - State:WI
Mailing Address - Zip Code:53190-1632
Mailing Address - Country:US
Mailing Address - Phone:262-472-8700
Mailing Address - Fax:262-472-8710
Practice Address - Street 1:419 S ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:WHITEWATER
Practice Address - State:WI
Practice Address - Zip Code:53190-1632
Practice Address - Country:US
Practice Address - Phone:262-472-8700
Practice Address - Fax:262-472-8710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI44222500251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44222500Medicaid