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21ST CENTURY PREPARATORY SCHOOL NPI 1679752018


NPI Information

NPI: 1679752018
Provider Name: 21ST CENTURY PREPARATORY SCHOOL
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization
Address:
1220 MOUND AVE
RACINE, WI
ZIP 53404
Phone: (262) 598-0026
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21ST CENTURY PREPARATORY SCHOOL is a local education agency lea in Racine, WI. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. 21ST CENTURY PREPARATORY SCHOOL NPI is 1679752018. The provider is registered as an organization entity type.

The provider's business location address is:

1220 MOUND AVE
RACINE, WI
ZIP 53404-350
Phone: (262) 598-0026
Fax: (262) 598-0031

The provider's authorized official is Robert Morelan .
The authorized official title is Superintendent and has the following contact phone number (262) 598-0026.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 11/2/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251300000XLocal Education Agency (LEA)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
144222000MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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