Provider Demographics
NPI:1194807883
Name:COLLEGE COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:COLLEGE COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF BUSINESS SERV
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROTTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA
Authorized Official - Phone:1319-848-5221
Mailing Address - Street 1:401 76TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-7035
Mailing Address - Country:US
Mailing Address - Phone:131-984-8520
Mailing Address - Fax:
Practice Address - Street 1:401 76TH AVE SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-7035
Practice Address - Country:US
Practice Address - Phone:131-984-8520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0267583251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)