Provider Demographics
| NPI: | 1063538338 |
|---|---|
| Name: | RURAL EMPLOYMENT ALTERNATIVES, INC. |
| Entity type: | Organization |
| Organization Name: | RURAL EMPLOYMENT ALTERNATIVES, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JEANNINE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SCANDRIDGE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 319-662-4043 |
| Mailing Address - Street 1: | 495 4TH AVE |
| Mailing Address - Street 2: | PO BOX 24 |
| Mailing Address - City: | CONROY |
| Mailing Address - State: | IA |
| Mailing Address - Zip Code: | 52220 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 319-662-4043 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 495 4TH AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | CONROY |
| Practice Address - State: | IA |
| Practice Address - Zip Code: | 52220 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 319-662-4043 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-03-21 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IA | 0136218 | Medicaid | |
| IA | 0448530 | Medicaid |