Organization Active NPI

Sac C.S.D.

  • Local Education Agency (LEA)
  • Sac City, IA
National Provider Identifier
1043367386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SAC C.S.D.
Practice address
400 S 16TH St
Sac City, IA 50583-1904
Phone
(712) 662-7030
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barb Kruthoff
Title
Superintendent
Phone
(712) 662-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

400 S 16TH St
Sac City, IA 50583-1904

Mailing address

400 S 16TH St
Sac City, IA 50583-1904
Phone (712) 662-7030

Other identifiers 1

IdentifierTypeStateIssuer
0733626MedicaidIA

National Provider Directory

National Provider Directory

Locations

400 S 16th St
Sac City, IA 50583
Phone (712) 662-7030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043367386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 16TH ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831904",
            "telephone_number": "712-662-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 16TH ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831904",
            "telephone_number": "712-662-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAC C.S.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUTHOFF",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "712-662-7030"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0733626",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sac City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.