Provider Demographics
NPI:1194874974
Name:SUMNER COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:SUMNER COMMUNITY SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-578-3425
Mailing Address - Street 1:802 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:IA
Mailing Address - Zip Code:50674-1216
Mailing Address - Country:US
Mailing Address - Phone:563-578-3425
Mailing Address - Fax:563-578-3424
Practice Address - Street 1:802 W 6TH ST
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:IA
Practice Address - Zip Code:50674-1216
Practice Address - Country:US
Practice Address - Phone:563-578-3425
Practice Address - Fax:563-578-3424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0432005Medicaid