Provider Demographics
NPI:1649472143
Name:COUNTY OF WINNEBAGO SCHOOL DISTRICT 320
Entity type:Organization
Organization Name:COUNTY OF WINNEBAGO SCHOOL DISTRICT 320
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-389-3478
Mailing Address - Street 1:850 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BELOIT
Mailing Address - State:IL
Mailing Address - Zip Code:61080-2119
Mailing Address - Country:US
Mailing Address - Phone:815-389-3478
Mailing Address - Fax:815-389-3477
Practice Address - Street 1:850 HAYES AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BELOIT
Practice Address - State:IL
Practice Address - Zip Code:61080-2119
Practice Address - Country:US
Practice Address - Phone:815-389-3478
Practice Address - Fax:815-389-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)