Provider Demographics
NPI:1427237429
Name:WHEATLAND JOINT #1 SCHOOL DISTRICT
Entity type:Organization
Organization Name:WHEATLAND JOINT #1 SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:C.
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-537-2216
Mailing Address - Street 1:6606 368TH AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-8583
Mailing Address - Country:US
Mailing Address - Phone:262-537-2216
Mailing Address - Fax:262-537-4059
Practice Address - Street 1:6606 368TH AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-8583
Practice Address - Country:US
Practice Address - Phone:262-537-2216
Practice Address - Fax:262-537-4059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44205000Medicaid