Provider Demographics
NPI:1790808285
Name:CHIPPEWA FALLS AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CHIPPEWA FALLS AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ACCOUNTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-726-2417
Mailing Address - Street 1:1130 MILES ST
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-1923
Mailing Address - Country:US
Mailing Address - Phone:715-726-2417
Mailing Address - Fax:715-726-2781
Practice Address - Street 1:1130 MILES ST
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-1923
Practice Address - Country:US
Practice Address - Phone:715-726-2417
Practice Address - Fax:715-726-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44215600Medicaid