Provider Demographics
NPI:1598944233
Name:DEERFIELD COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:DEERFIELD COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:NOLL
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:698-764-5431
Mailing Address - Street 1:300 SIMONSON BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53531-9543
Mailing Address - Country:US
Mailing Address - Phone:608-764-5431
Mailing Address - Fax:608-764-5433
Practice Address - Street 1:300 SIMONSON BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:WI
Practice Address - Zip Code:53531-9543
Practice Address - Country:US
Practice Address - Phone:608-764-5431
Practice Address - Fax:608-764-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44221700Medicaid