Random Lake School District

LBN: School District Of Random Lake
Random Lake School District is an health care organization with primary practice located at 605 Random Lake Rd , Random Lake WI 53075-1646. 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 Random Lake can be contacted via phone (920) 994-4342, or through Malmstadt, Thomas O via phone (920) 994-4342.

Contact Information

Primary practice address
605 Random Lake Rd Random Lake WI 53075-1646
Phone: (920) 994-4342
Fax: (920) 994-4820
Website:
Map and Directions
Authorized official contact:
Name: Malmstadt, Thomas O
Phone: (920) 994-4342

Health care specialties

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

Profile Details

NPI number 1245401371
LBN Legal business name School District Of Random Lake
DBA Doing business as Random Lake School District
Authorized official Malmstadt, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 17th, 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 1245401371 NPPES
Wisconsin MEDICAID 44243900

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