Provider Demographics
NPI:1730360397
Name:REEDSVILLE SCHOOL DITRICT
Entity type:Organization
Organization Name:REEDSVILLE SCHOOL DITRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:TADDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-754-4345
Mailing Address - Street 1:350 SOUTH PARK STREET
Mailing Address - Street 2:
Mailing Address - City:REEDSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54230
Mailing Address - Country:US
Mailing Address - Phone:920-754-4345
Mailing Address - Fax:920-754-4577
Practice Address - Street 1:350 PARK STREET
Practice Address - Street 2:
Practice Address - City:REEDSVILLE
Practice Address - State:WI
Practice Address - Zip Code:54230
Practice Address - Country:US
Practice Address - Phone:920-754-4345
Practice Address - Fax:920-754-4577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44213200Medicaid