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Port Edwards School District

Port Edwards School District is a health care provider in Port Edwards, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 801 2nd St, Port Edwards, WI 54469-1301, US
Practice Location Phone715-887-9000
Practice Location Fax715-887-9040
Legal Business NamePORT EDWARDS SCHOOL DISTRICT
NPI ?1104010610
Entity TypeOrganization
Enumeration Date ? Aug 29, 2007
Last Update Date ? Aug 29, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Port Edwards School District

SpecialtySpecializationLicenseLicense State
Local Education Agency (LEA)

legacy-id-icon Legacy Provider IDs of Port Edwards School District

Provider IdIssuer StateIssuer TypeIssuer
44229000WisconsinMedicaid

official-icon Authorized Official of Port Edwards School District

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Port Edwards School District's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dean Ryerson
Authorized Official Title/PositionDISTRICT ADMINISTRATOR
Authorized Official Phone Number715-887-9000