Provider Demographics
NPI:1730370644
Name:WINNECONNE SCHOOL DISTRICT
Entity type:Organization
Organization Name:WINNECONNE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:REINKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-582-5802
Mailing Address - Street 1:233 S 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:WINNECONNE
Mailing Address - State:WI
Mailing Address - Zip Code:54986-9646
Mailing Address - Country:US
Mailing Address - Phone:920-582-5802
Mailing Address - Fax:
Practice Address - Street 1:233 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:WINNECONNE
Practice Address - State:WI
Practice Address - Zip Code:54986-9646
Practice Address - Country:US
Practice Address - Phone:920-582-5802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44227300Medicaid