Eddyville Blakesburg CSD

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EDDYVILLE BLAKESBURG CSD

Practice address

407 Wilson
Blakesburg, IA 52553

Phone

(641) 938-2202

Fax

(641) 938-2613

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Catherine Herrmann, RN,BSN

Title

District Nurse

Phone

(641) 777-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eddyville Blakesburg Community School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eddyville Blakesburg Community School District

  • Local Education Agency (LEA)
  • Eddyville, IA
  • NPI 1245387489
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174745327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WILSON",
            "city": "BLAKESBURG",
            "state": "IA",
            "postal_code": "52553",
            "telephone_number": "641-938-2202",
            "fax_number": "641-938-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WILSON",
            "city": "BLAKESBURG",
            "state": "IA",
            "postal_code": "52553",
            "telephone_number": "641-938-2202",
            "fax_number": "641-938-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDYVILLE BLAKESBURG CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "DISTRICT NURSE",
        "authorized_official_telephone_number": "641-777-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421255",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blakesburg Community Fire Board
• Blakesburg Fire & Rescue

• Local Education Agency (LEA) in Blakesburg, IA
• Providers in Blakesburg, 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 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.