Provider Demographics
NPI:1003089087
Name:NORTH CRAWFORD SCHOOL DISTRICT
Entity type:Organization
Organization Name:NORTH CRAWFORD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:608-735-4318
Mailing Address - Street 1:47050 COUNTY ROAD X
Mailing Address - Street 2:
Mailing Address - City:SOLDIERS GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:54655-8551
Mailing Address - Country:US
Mailing Address - Phone:608-735-4318
Mailing Address - Fax:608-735-4317
Practice Address - Street 1:47050 COUNTY ROAD X
Practice Address - Street 2:
Practice Address - City:SOLDIERS GROVE
Practice Address - State:WI
Practice Address - Zip Code:54655-8551
Practice Address - Country:US
Practice Address - Phone:608-735-4318
Practice Address - Fax:608-735-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44222800Medicaid