Provider Demographics
NPI:1689840688
Name:WASHINGTON-CALDWELL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WASHINGTON-CALDWELL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-662-3466
Mailing Address - Street 1:8937 BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53185-1263
Mailing Address - Country:US
Mailing Address - Phone:262-662-3466
Mailing Address - Fax:262-662-9888
Practice Address - Street 1:8937 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:WI
Practice Address - Zip Code:53185-1263
Practice Address - Country:US
Practice Address - Phone:262-662-3466
Practice Address - Fax:262-662-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44243100Medicaid