Organization Active NPI

Mediapolis CSD

  • Local Education Agency (LEA)
  • Mediapolis, IA
National Provider Identifier
1205850815
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
MEDIAPOLIS CSD
Practice address
725 N Northfield St
Mediapolis, IA 52637-9453
Phone
(319) 394-3101
Fax
(319) 394-9753
NPI assigned
Jul 27, 2006
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
Mr. Fred Whipple
Title
Superintendent
Phone
(319) 394-3101

Specialties & licenses 1

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

Addresses

Primary practice location

725 N Northfield St
Mediapolis, IA 52637-9453

Mailing address

725 N Northfield St
Mediapolis, IA 52637-9453
Phone (319) 394-3101

Other identifiers 1

IdentifierTypeStateIssuer
0431965MedicaidIA

National Provider Directory

National Provider Directory

Locations

725 N Northfield St
Mediapolis, IA 52637
Phone (319) 394-3101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205850815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N NORTHFIELD ST",
            "city": "MEDIAPOLIS",
            "state": "IA",
            "postal_code": "526379453",
            "telephone_number": "319-394-3101",
            "fax_number": "319-394-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N NORTHFIELD ST",
            "city": "MEDIAPOLIS",
            "state": "IA",
            "postal_code": "526379453",
            "telephone_number": "319-394-3101",
            "fax_number": "319-394-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIAPOLIS CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "319-394-3101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431965",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mediapolis, 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.