Provider Demographics
NPI:1487835054
Name:OSHKOSH AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:OSHKOSH AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEILMANN
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:920-424-0160
Mailing Address - Street 1:215 S EAGLE ST
Mailing Address - Street 2:PO BOX 3048
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54903-3048
Mailing Address - Country:US
Mailing Address - Phone:920-424-0160
Mailing Address - Fax:920-424-0466
Practice Address - Street 1:215 S EAGLE ST
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54902-5624
Practice Address - Country:US
Practice Address - Phone:920-424-0160
Practice Address - Fax:920-424-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44204100Medicaid