Provider Demographics
NPI:1992986558
Name:GOODMAN-ARMSTRONG CREEK SCHOOL DISTRICT
Entity type:Organization
Organization Name:GOODMAN-ARMSTRONG CREEK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:K
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-336-2575
Mailing Address - Street 1:#1 FALCON CREST
Mailing Address - Street 2:
Mailing Address - City:GOODMAN
Mailing Address - State:WI
Mailing Address - Zip Code:54125
Mailing Address - Country:US
Mailing Address - Phone:715-336-2575
Mailing Address - Fax:715-336-2575
Practice Address - Street 1:# 1 FALCON CREST RD.
Practice Address - Street 2:
Practice Address - City:GOODMAN
Practice Address - State:WI
Practice Address - Zip Code:54125
Practice Address - Country:US
Practice Address - Phone:715-336-2575
Practice Address - Fax:715-336-2576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI67221200Medicaid