Provider Demographics
NPI:1538348362
Name:BUTTERNUT SCHOOL DISTRICT
Entity type:Organization
Organization Name:BUTTERNUT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUCHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-769-3434
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:BUTTERNUT
Mailing Address - State:WI
Mailing Address - Zip Code:54514-0247
Mailing Address - Country:US
Mailing Address - Phone:715-769-3434
Mailing Address - Fax:715-769-3712
Practice Address - Street 1:312 W WISCONSIN ST
Practice Address - Street 2:
Practice Address - City:BUTTERNUT
Practice Address - State:WI
Practice Address - Zip Code:54514-9109
Practice Address - Country:US
Practice Address - Phone:715-769-3434
Practice Address - Fax:715-769-3712
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
WI44228000Medicaid