Active NPI
Pella CSD
- Local Education Agency (LEA)
- Pella, IA
National Provider Identifier
1386795623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- PELLA CSD
- Practice address
- 210 E University St
Pella, IA 50219-1970 - Phone
- (641) 628-1111
- Fax
- (641) 628-1116
- NPI assigned
- Jan 15, 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
- Mark J Wittmer
- Title
- Superintendent
- Phone
- (641) 628-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | IA | Primary |
Addresses
Primary practice location
210 E University St
Pella, IA 50219-1970
Mailing address
210 E University St
Pella, IA 50219-1970
Phone (641) 628-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0264994 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
210 E University St
Pella, IA 50219
Phone (641) 628-1111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386795623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E UNIVERSITY ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191970",
"telephone_number": "641-628-1111",
"fax_number": "641-628-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E UNIVERSITY ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191970",
"telephone_number": "641-628-1111",
"fax_number": "641-628-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PELLA CSD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WITTMER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "641-628-1111"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0264994",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pella, 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.