Provider Demographics
NPI:1689854390
Name:SCHOOL DISTRICT OF ATHENS
Entity Type:Organization
Organization Name:SCHOOL DISTRICT OF ATHENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-257-7511
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:WI
Mailing Address - Zip Code:54411-0190
Mailing Address - Country:US
Mailing Address - Phone:715-257-7511
Mailing Address - Fax:715-257-9026
Practice Address - Street 1:209 SCHLEGEL STREET
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:WI
Practice Address - Zip Code:54411-0190
Practice Address - Country:US
Practice Address - Phone:715-257-7511
Practice Address - Fax:715-257-9026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44208400Medicaid