Provider Demographics
NPI:1598812141
Name:DUBUQUE COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:DUBUQUE COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:C.
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:563-552-3084
Mailing Address - Street 1:2300 CHANEY ROAD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-3095
Mailing Address - Country:US
Mailing Address - Phone:563-552-3084
Mailing Address - Fax:563-552-3102
Practice Address - Street 1:2300 CHANEY ROAD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3095
Practice Address - Country:US
Practice Address - Phone:563-552-3084
Practice Address - Fax:563-552-3102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
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
IA0254185Medicaid