Provider Demographics
NPI:1396925178
Name:BELOIT TURNER SCHOOL DISTRICT
Entity type:Organization
Organization Name:BELOIT TURNER SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-368-3145
Mailing Address - Street 1:1237 INMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1723
Mailing Address - Country:US
Mailing Address - Phone:608-364-6372
Mailing Address - Fax:608-364-6360
Practice Address - Street 1:1237 INMAN PKWY
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1723
Practice Address - Country:US
Practice Address - Phone:608-364-6372
Practice Address - Fax:608-364-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44207600Medicaid