Provider Demographics
NPI:1912173584
Name:SCHOOL DISTRICT OF CUBA CITY
Entity Type:Organization
Organization Name:SCHOOL DISTRICT OF CUBA CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DESIGNEE
Authorized Official - Prefix:MS
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:DURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-744-2174
Mailing Address - Street 1:518 W ROOSEVELT ST
Mailing Address - Street 2:101 N. SCHOOL STREET
Mailing Address - City:CUBA CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53807-1220
Mailing Address - Country:US
Mailing Address - Phone:608-744-2174
Mailing Address - Fax:608-744-7469
Practice Address - Street 1:518 W ROOSEVELT ST
Practice Address - Street 2:101 N. SCHOOL STREET
Practice Address - City:CUBA CITY
Practice Address - State:WI
Practice Address - Zip Code:53807-1220
Practice Address - Country:US
Practice Address - Phone:608-744-2174
Practice Address - Fax:608-744-7469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus