Active NPI
Eldora-New Providence Community School District
- Local Education Agency (LEA)
- Eldora, IA
National Provider Identifier
1245354554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0483982 | Medicaid | IA |
Other names 1
- Area Education Agency 267
National Provider Directory
National Provider DirectoryLocations
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.