Provider Demographics
NPI:1811176456
Name:OCONTO FALLS PUBLIC SCHOOLS
Entity type:Organization
Organization Name:OCONTO FALLS PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:POLASHEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-848-4471
Mailing Address - Street 1:200 N FARM RD
Mailing Address - Street 2:
Mailing Address - City:OCONTO FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54154-1221
Mailing Address - Country:US
Mailing Address - Phone:920-848-4471
Mailing Address - Fax:920-848-4474
Practice Address - Street 1:415 MARIE VOLK DR
Practice Address - Street 2:
Practice Address - City:OCONTO FALLS
Practice Address - State:WI
Practice Address - Zip Code:54154-1254
Practice Address - Country:US
Practice Address - Phone:920-848-4476
Practice Address - Fax:920-848-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44214000OtherMJ PROVIDER ID