Provider Demographics
NPI:1528117231
Name:CALAMUS WHEATLAND COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:CALAMUS WHEATLAND COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD SECRETARY TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIKA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PEWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-374-1292
Mailing Address - Street 1:110 E. PARK ROAD
Mailing Address - Street 2:P.O. BOX 279
Mailing Address - City:WHEATLAND
Mailing Address - State:IA
Mailing Address - Zip Code:52777-0279
Mailing Address - Country:US
Mailing Address - Phone:563-374-1292
Mailing Address - Fax:563-374-1080
Practice Address - Street 1:80 S. 2ND STREET
Practice Address - Street 2:
Practice Address - City:CALAMUS
Practice Address - State:IA
Practice Address - Zip Code:52729-0158
Practice Address - Country:US
Practice Address - Phone:563-246-2222
Practice Address - Fax:563-246-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
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
IA0244640Medicaid