Provider Demographics
NPI:1780863258
Name:JT SCHOOL DISTRICT NO 1
Entity Type:Organization
Organization Name:JT SCHOOL DISTRICT NO 1
Other - Org Name:ADAMS-FRIENDSHIP AREA SCHOOLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-339-3213
Mailing Address - Street 1:201 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FRIENDSHIP
Mailing Address - State:WI
Mailing Address - Zip Code:53934-9135
Mailing Address - Country:US
Mailing Address - Phone:608-339-3213
Mailing Address - Fax:608-339-6213
Practice Address - Street 1:201 W 6TH ST
Practice Address - Street 2:
Practice Address - City:FRIENDSHIP
Practice Address - State:WI
Practice Address - Zip Code:53934-9135
Practice Address - Country:US
Practice Address - Phone:608-339-3213
Practice Address - Fax:608-339-6213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44202500Medicaid