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SCHOOL DISTRICT OF RANDOM LAKE NPI 1245401371


NPI Information

NPI: 1245401371
Provider Name: SCHOOL DISTRICT OF RANDOM LAKE

Other Name: RANDOM LAKE SCHOOL DISTRICT

Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization
Address:
605 RANDOM LAKE RD
RANDOM LAKE, WI
ZIP 53075
Phone: (920) 994-4342
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SCHOOL DISTRICT OF RANDOM LAKE is a local education agency lea in Random Lake, WI. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. SCHOOL DISTRICT OF RANDOM LAKE NPI is 1245401371. The provider is registered as an organization entity type.
The provider Other Name Is Random Lake School District.

The provider's business location address is:

605 RANDOM LAKE RD
RANDOM LAKE, WI
ZIP 53075-646
Phone: (920) 994-4342
Fax: (920) 994-4820

The provider's authorized official is Thomas O Malmstadt .
The authorized official title is Superintendent and has the following contact phone number (920) 994-4342.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
144243900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.