Provider Demographics
NPI:1063592715
Name:MANSON NORTHWEST WEBSTER SCHOOLS
Entity type:Organization
Organization Name:MANSON NORTHWEST WEBSTER SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:K
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:515-542-3211
Mailing Address - Street 1:303 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:BARNUM
Mailing Address - State:IA
Mailing Address - Zip Code:50518-1005
Mailing Address - Country:US
Mailing Address - Phone:515-542-3211
Mailing Address - Fax:515-542-3214
Practice Address - Street 1:303 PIERCE ST
Practice Address - Street 2:
Practice Address - City:BARNUM
Practice Address - State:IA
Practice Address - Zip Code:50518-1005
Practice Address - Country:US
Practice Address - Phone:515-542-3211
Practice Address - Fax:515-542-3214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0429860Medicaid