Provider Demographics
NPI:1528471950
Name:EXIRA-ELK HORN-KIMBALLTON COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:EXIRA-ELK HORN-KIMBALLTON COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-764-4616
Mailing Address - Street 1:PO BOX 388A
Mailing Address - Street 2:
Mailing Address - City:ELK HORN
Mailing Address - State:IA
Mailing Address - Zip Code:51531-0704
Mailing Address - Country:US
Mailing Address - Phone:712-764-1616
Mailing Address - Fax:712-764-4626
Practice Address - Street 1:4114 MADISON ST
Practice Address - Street 2:
Practice Address - City:ELK HORN
Practice Address - State:IA
Practice Address - Zip Code:51531-2132
Practice Address - Country:US
Practice Address - Phone:712-764-1616
Practice Address - Fax:712-764-4626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)