Provider Demographics
NPI:1861686370
Name:TRI COUNTY AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TRI COUNTY AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-335-6366
Mailing Address - Street 1:409 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54966-9608
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:409 S WEST ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:WI
Practice Address - Zip Code:54966-9608
Practice Address - Country:US
Practice Address - Phone:715-335-6366
Practice Address - Fax:715-335-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44228400Medicaid