Provider Demographics
NPI:1699974410
Name:BATTLE CREEK-IDA GROVE COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:BATTLE CREEK-IDA GROVE COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-364-2255
Mailing Address - Street 1:301 MOOREHEAD ST
Mailing Address - Street 2:
Mailing Address - City:IDA GROVE
Mailing Address - State:IA
Mailing Address - Zip Code:51445-1428
Mailing Address - Country:US
Mailing Address - Phone:712-364-2255
Mailing Address - Fax:712-364-3609
Practice Address - Street 1:301 MOOREHEAD ST
Practice Address - Street 2:
Practice Address - City:IDA GROVE
Practice Address - State:IA
Practice Address - Zip Code:51445-1428
Practice Address - Country:US
Practice Address - Phone:712-364-2255
Practice Address - Fax:712-364-3609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0796326Medicaid