ELKHART LAKE-GLENBEULAH SCHOOL DISTRICT
NPI 1720203599
Local Education Agency (LEA) in Elkhart Lake, WI

Q: What is Elkhart Lake-Glenbeulah School District's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Active since April 16, 2007CLIA 52D2229624 · Waiver

201 LINCOLN ST, ELKHART LAKE, WI 53020(920) 876-3307(920) 876-3105 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elkhart Lake-glenbeulah School District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELKHART LAKE-GLENBEULAH SCHOOL DISTRICT (NPI 1720203599), doing business as Jt School Dist No 1 Elkhart Lake Twns Rhine Russell & Herman, is a healthcare organization registered as a local education agency (lea) in Elkhart Lake, Wisconsin and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Charles Bares, Director Of Student Services, as its authorized official.

NPPES Registry Identity

NPI1720203599

Entity TypeOrganization

Primary Taxonomy251300000X

Legal Business NameELKHART LAKE-GLENBEULAH SCHOOL DISTRICT

Location Address201 LINCOLN STElkhart Lake, WI 53020-1966

Mailing AddressPo Box 518Elkhart Lake, WI 53020-0518 · (920) 876-3307 · Fax (920) 876-3105

Phone(920) 876-3307

Fax(920) 876-3105

Organization SubpartNo

Authorized OfficialCharles BaresDirector Of Student Services · (920) 876-3307

Enumeration DateApril 16, 2007

Last NPPES UpdateJune 25, 2008

✔ NPI 1720203599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies

Taxonomy Code251300000X

Definition

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.

201 LINCOLN ST, Elkhart Lake, WI 53020

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Other Names 1

Former Legal Business NameJt School Dist No 1 Elkhart Lake Twns Rhine Russell & Herman

Other Identifiers 1

Medicaid44219500WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2229624

Elkhart Lake-Glenbeulah School District · Elkhart Lake, WI

Active · expires Jul 13, 2027

CLIA Number52D2229624

Laboratory TypeSchool/Student Health Service

Certificate Effective DateJuly 14, 2025

Certificate Expiration DateJuly 13, 2027

Laboratory DirectorJesi Brandl

Laboratory Phone(920) 876-3381

Laboratory LocationElkhart Lake-Glenbeulah School District201 No Lincoln St, Elkhart Lake, WI 53020

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elkhart Lake-Glenbeulah School District's NPI number?

The NPI number for Elkhart Lake-Glenbeulah School District is 1720203599. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider was formerly known as Jt School Dist No 1 Elkhart Lake Twns Rhine Russell & Herman.

Where is Elkhart Lake-Glenbeulah School District located?

Elkhart Lake-Glenbeulah School District is located at 201 Lincoln St, Elkhart Lake, WI 53020. The listed phone number is (920) 876-3307.

What is Elkhart Lake-Glenbeulah School District's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Elkhart Lake-Glenbeulah School District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2229624) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elkhart Lake-Glenbeulah School District was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.