Provider Demographics
NPI:1144472655
Name:SCHOOL DISTRICT OF COLBY
Entity type:Organization
Organization Name:SCHOOL DISTRICT OF COLBY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPT.
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:DOWNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-223-2301
Mailing Address - Street 1:505 W SPENCE ST
Mailing Address - Street 2:PO BOX 139
Mailing Address - City:COLBY
Mailing Address - State:WI
Mailing Address - Zip Code:54421-9644
Mailing Address - Country:US
Mailing Address - Phone:715-223-2301
Mailing Address - Fax:715-223-4539
Practice Address - Street 1:505 W SPENCE ST
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:WI
Practice Address - Zip Code:54421-9644
Practice Address - Country:US
Practice Address - Phone:715-223-2301
Practice Address - Fax:715-223-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1162251B00000X, 251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management