Organization Active NPI

Central Decatur CSD

  • Local Education Agency (LEA)
  • Leon, IA
National Provider Identifier
1407873250
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
CENTRAL DECATUR CSD
Practice address
1201 NE Poplar St
Leon, IA 50144-1246
Phone
(641) 446-4818
Fax
(641) 446-7990
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Rita Audlehelm
Title
School Nurse
Phone
(641) 446-4816

Specialties & licenses 1

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

Addresses

Primary practice location

1201 NE Poplar St
Leon, IA 50144-1246

Mailing address

1201 NE Poplar St
Leon, IA 50144-1246
Phone (641) 446-4818

Other identifiers 1

IdentifierTypeStateIssuer
0258509MedicaidIA

National Provider Directory

National Provider Directory

Locations

1201 NE Poplar St
Leon, IA 50144
Phone (641) 446-4818

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407873250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE POPLAR ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441246",
            "telephone_number": "641-446-4818",
            "fax_number": "641-446-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE POPLAR ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441246",
            "telephone_number": "641-446-4818",
            "fax_number": "641-446-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DECATUR CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUDLEHELM",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "641-446-4816"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258509",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leon, 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.