Provider Demographics
NPI:1477732006
Name:JOINT SCHOOL DISTRICT NO 1
Entity Type:Organization
Organization Name:JOINT SCHOOL DISTRICT NO 1
Other - Org Name:WOODRUFF J1 ARBORVITAE-WOODRUFF SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-356-3282
Mailing Address - Street 1:11065 OLD HWY 51 N
Mailing Address - Street 2:
Mailing Address - City:ARBOR VITAE
Mailing Address - State:WI
Mailing Address - Zip Code:54568-9721
Mailing Address - Country:US
Mailing Address - Phone:715-356-3282
Mailing Address - Fax:715-358-2933
Practice Address - Street 1:11065 OLD HWY 51 N
Practice Address - Street 2:
Practice Address - City:ARBOR VITAE
Practice Address - State:WI
Practice Address - Zip Code:54568-9721
Practice Address - Country:US
Practice Address - Phone:715-356-3282
Practice Address - Fax:715-358-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44239700Medicaid