Provider Demographics
NPI:1447566286
Name:DARLINGTON COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DARLINGTON COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WELLNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:608-776-2006
Mailing Address - Street 1:11630 CENTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53530-9231
Mailing Address - Country:US
Mailing Address - Phone:608-776-2006
Mailing Address - Fax:608-776-3407
Practice Address - Street 1:11630 CENTER HILL RD
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53530-9231
Practice Address - Country:US
Practice Address - Phone:608-776-2006
Practice Address - Fax:608-776-3407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI331295251300000X, 347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI=========Medicaid