Benton Community School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

060609 Issued in IA

Legal business name

BENTON COMMUNITY SCHOOL

Practice address

304 1St Street
Van Horne, IA 52346-0070

Phone

(319) 228-8701

Fax

(319) 228-8874

NPI assigned

Jan 4, 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

Mr. Doug Embray

Title

Business Manager

Phone

(319) 228-8701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306993456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "VAN HORNE",
            "state": "IA",
            "postal_code": "523460070",
            "telephone_number": "319-228-8701",
            "fax_number": "319-228-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 1ST STREET",
            "city": "VAN HORNE",
            "state": "IA",
            "postal_code": "523460070",
            "telephone_number": "319-228-8701",
            "fax_number": "319-228-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COMMUNITY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMBRAY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "319-228-8701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IA",
            "license": "060609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282004",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Hoefle
• Bethany Lea Hoopes, PHARMD.
• James K Sheronick, D.D.S.
• Elizabeth Mae Stout
• Rita Jean Taylor-Stewart, PA-C

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