School District Of Clear Lake

LBN: School District Of Clear Lake
School District Of Clear Lake is an health care organization with primary practice located at 1101 3Rd St Sw , Clear Lake WI 54005-8511. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. School District Of Clear Lake can be contacted via phone (715) 263-2114, or through Ayer, Brad via phone (715) 263-2114.

Contact Information

Primary practice address
1101 3Rd St Sw Clear Lake WI 54005-8511
Phone: (715) 263-2114
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ayer, Brad
Phone: (715) 263-2114

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1952580730
LBN Legal business name School District Of Clear Lake
DBA Doing business as
Authorized official Ayer, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Jun 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952580730 NPPES
Wisconsin MEDICAID 44235400

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