Provider Demographics
NPI:1992074918
Name:CAM COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:CAM COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETLZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-762-3713
Mailing Address - Street 1:1000 VICTORY PARK RD
Mailing Address - Street 2:
Mailing Address - City:ANITA
Mailing Address - State:IA
Mailing Address - Zip Code:50020-1119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 VICTORY PARK RD
Practice Address - Street 2:
Practice Address - City:ANITA
Practice Address - State:IA
Practice Address - Zip Code:50020-1119
Practice Address - Country:US
Practice Address - Phone:712-762-3713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)