Provider Demographics
NPI:1497928386
Name:SCHOOL DISTRICT OF ALMA CENTER-HUMBIRD-MERRILLAN
Entity Type:Organization
Organization Name:SCHOOL DISTRICT OF ALMA CENTER-HUMBIRD-MERRILLAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-964-8271
Mailing Address - Street 1:124 S. SCHOOL STREET
Mailing Address - Street 2:
Mailing Address - City:ALMA CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:54611
Mailing Address - Country:US
Mailing Address - Phone:715-964-8271
Mailing Address - Fax:715-964-1005
Practice Address - Street 1:124 S. SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:ALMA CENTER
Practice Address - State:WI
Practice Address - Zip Code:54611
Practice Address - Country:US
Practice Address - Phone:715-964-8271
Practice Address - Fax:715-964-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No347B00000XTransportation ServicesBusGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44222100Medicaid