West Bend - Mallard Community School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WEST BEND - MALLARD COMMUNITY SCHOOL DISTRICT

Practice address

300 3Rd Ave SW
West Bend, IA 50597-8573

Phone

(515) 887-7821

Fax

(515) 887-7853

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Phillips, PHD

Title

Superintendent

Phone

(515) 887-7821

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1144429119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SW",
            "address_2": "PO BOX 247",
            "city": "WEST BEND",
            "state": "IA",
            "postal_code": "505978573",
            "telephone_number": "515-887-7821",
            "fax_number": "515-887-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SW",
            "city": "WEST BEND",
            "state": "IA",
            "postal_code": "505978573",
            "telephone_number": "515-887-7821",
            "fax_number": "515-887-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BEND - MALLARD COMMUNITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "515-887-7821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6921#######",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hughes Pharmacy Services Inc.
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• Jessica Ann Ulrich
• West Bend Care Center

• Local Education Agency (LEA) in West Bend, IA
• Providers in West Bend, IA by specialty
• Local Education Agency (LEA) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.