Provider Demographics
NPI:1144482225
Name:NORTH CAPE SCHOOL DISTRICT
Entity type:Organization
Organization Name:NORTH CAPE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-835-4069
Mailing Address - Street 1:11926 HIGHWAY K
Mailing Address - Street 2:
Mailing Address - City:FRANKSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53126-9691
Mailing Address - Country:US
Mailing Address - Phone:262-835-4069
Mailing Address - Fax:262-835-2311
Practice Address - Street 1:11926 HIGHWAY K
Practice Address - Street 2:
Practice Address - City:FRANKSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53126-9691
Practice Address - Country:US
Practice Address - Phone:262-835-4069
Practice Address - Fax:262-835-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44242300Medicaid