Provider Demographics
NPI:1467631168
Name:SCHOOL DISTRICT OF NEW RICHMOND
Entity Type:Organization
Organization Name:SCHOOL DISTRICT OF NEW RICHMOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:VEILLEUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-243-7411
Mailing Address - Street 1:701 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54017-2399
Mailing Address - Country:US
Mailing Address - Phone:715-243-7411
Mailing Address - Fax:
Practice Address - Street 1:701 E 11TH ST
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017-2399
Practice Address - Country:US
Practice Address - Phone:715-243-7411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44237100Medicaid