Provider Demographics
NPI:1437338126
Name:PARKVIEW SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PARKVIEW SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-879-2717
Mailing Address - Street 1:106 W CHURCH ST
Mailing Address - Street 2:PO BOX 250
Mailing Address - City:ORFORDVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53576-8755
Mailing Address - Country:US
Mailing Address - Phone:608-879-2717
Mailing Address - Fax:608-879-2732
Practice Address - Street 1:106 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ORFORDVILLE
Practice Address - State:WI
Practice Address - Zip Code:53576-8755
Practice Address - Country:US
Practice Address - Phone:608-879-2717
Practice Address - Fax:608-879-2732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44219200Medicaid