Provider Demographics
NPI:1427384601
Name:ST. CROIX CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ST. CROIX CENTRAL SCHOOL DISTRICT
Other - Org Name:ST. CROIX CENTRAL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-749-3119
Mailing Address - Street 1:202 DIVISION STREET
Mailing Address - Street 2:
Mailing Address - City:ROBERTS
Mailing Address - State:WI
Mailing Address - Zip Code:54023
Mailing Address - Country:US
Mailing Address - Phone:715-749-3119
Mailing Address - Fax:715-749-3130
Practice Address - Street 1:202 DIVISION
Practice Address - Street 2:
Practice Address - City:ROBERTS
Practice Address - State:WI
Practice Address - Zip Code:54023
Practice Address - Country:US
Practice Address - Phone:715-749-3119
Practice Address - Fax:715-749-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2422251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)