Organization Active NPI

Eldora-New Providence Community School District

  • Local Education Agency (LEA)
  • Eldora, IA
National Provider Identifier
1245354554
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
ELDORA-NEW PROVIDENCE COMMUNITY SCHOOL DISTRICT
Practice address
1800 24TH St
Eldora, IA 50627-1558
Phone
(319) 939-5631
Fax
(319) 939-3667
NPI assigned
Mar 19, 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
Mr. Randall Nichols
Title
Superintendent
Phone
(641) 939-5631

Specialties & licenses 1

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

Addresses

Primary practice location

1800 24TH St
Eldora, IA 50627-1558

Mailing address

1800 24TH St
Eldora, IA 50627-1558
Phone (319) 939-5631

Other identifiers 1

IdentifierTypeStateIssuer
0483982MedicaidIA

Other names 1

  • Area Education Agency 267 Other name

National Provider Directory

National Provider Directory

Locations

1800 24th St
Eldora, IA 50627
Phone (319) 939-5631

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245354554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 24TH ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271558",
            "telephone_number": "319-939-5631",
            "fax_number": "319-939-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 24TH ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271558",
            "telephone_number": "319-939-5631",
            "fax_number": "319-939-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORA-NEW PROVIDENCE COMMUNITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "641-939-5631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483982",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Area Education Agency 267",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eldora, 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.