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Union Grove Elementary School

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

physician-icon Basic Information

Practice Location 1745 Milldrum St, Union Grove, WI 53182-1763, US
Practice Location Phone262-878-2015
Practice Location Fax262-878-3133
Legal Business NameUNION GROVE ELEMENTARY SCHOOL
NPI ?1194904748
Entity TypeOrganization
Enumeration Date ? Oct 31, 2007
Last Update Date ? Oct 31, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Union Grove Elementary School

SpecialtySpecializationLicenseLicense State
Local Education Agency (LEA)

legacy-id-icon Legacy Provider IDs of Union Grove Elementary School

Provider IdIssuer StateIssuer TypeIssuer
44242500WisconsinMedicaid

official-icon Authorized Official of Union Grove Elementary School

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

Authorized Official Gary Damaschke
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number262-878-2015