Provider Demographics
NPI:1508045691
Name:SCHOOL DISTRICT OF MILTON
Entity Type:Organization
Organization Name:SCHOOL DISTRICT OF MILTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PEG
Authorized Official - Middle Name:
Authorized Official - Last Name:EKEDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-868-9200
Mailing Address - Street 1:430 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WI
Mailing Address - Zip Code:53563-1579
Mailing Address - Country:US
Mailing Address - Phone:608-868-9200
Mailing Address - Fax:
Practice Address - Street 1:430 E HIGH ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WI
Practice Address - Zip Code:53563-1579
Practice Address - Country:US
Practice Address - Phone:608-868-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44207500Medicaid