Provider Demographics
NPI:1487836383
Name:DRUMMOND AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DRUMMOND AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-739-6231
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:DRUMMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54832-0040
Mailing Address - Country:US
Mailing Address - Phone:715-739-6231
Mailing Address - Fax:715-739-6345
Practice Address - Street 1:52440 EASTERN AVENUE
Practice Address - Street 2:
Practice Address - City:DRUMMOND
Practice Address - State:WI
Practice Address - Zip Code:54832-0040
Practice Address - Country:US
Practice Address - Phone:715-739-6231
Practice Address - Fax:715-739-6345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44233900Medicaid