Provider Demographics
NPI:1649459256
Name:OCONTO UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:OCONTO UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CRONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-834-7814
Mailing Address - Street 1:400 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:OCONTO
Mailing Address - State:WI
Mailing Address - Zip Code:54153-1764
Mailing Address - Country:US
Mailing Address - Phone:920-834-7814
Mailing Address - Fax:920-834-9884
Practice Address - Street 1:400 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:OCONTO
Practice Address - State:WI
Practice Address - Zip Code:54153-1764
Practice Address - Country:US
Practice Address - Phone:920-834-7814
Practice Address - Fax:920-834-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44240800Medicaid