Provider Demographics
NPI:1881873610
Name:BAYFIELD SCHOOL DISTRICT
Entity type:Organization
Organization Name:BAYFIELD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-779-3201
Mailing Address - Street 1:PO BOX 5001
Mailing Address - Street 2:
Mailing Address - City:BAYFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54814-5001
Mailing Address - Country:US
Mailing Address - Phone:715-779-3201
Mailing Address - Fax:715-779-0120
Practice Address - Street 1:300 N 4TH ST
Practice Address - Street 2:
Practice Address - City:BAYFIELD
Practice Address - State:WI
Practice Address - Zip Code:54814-3406
Practice Address - Country:US
Practice Address - Phone:715-779-3201
Practice Address - Fax:715-779-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44230200Medicaid