Organization Active NPI

Indianola Community School District

  • Local Education Agency (LEA)
  • Indianola, IA
National Provider Identifier
1417085804
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
INDIANOLA COMMUNITY SCHOOL DISTRICT
Practice address
1304 E 2ND Ave
Indianola, IA 50125-2898
Phone
(515) 961-9500
Fax
(515) 961-9505
NPI assigned
Feb 28, 2007
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
Mr. Bradley S. Jermeland
Title
Associate Superintendent
Phone
(515) 961-9500

Specialties & licenses 1

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

Addresses

Primary practice location

1304 E 2ND Ave
Indianola, IA 50125-2898

Mailing address

1304 E 2ND Ave
Indianola, IA 51025
Phone (515) 961-9500

Other identifiers 1

IdentifierTypeStateIssuer
0482778MedicaidIA

National Provider Directory

National Provider Directory

Locations

1304 E 2nd Ave
Indianola, IA 50125
Phone (515) 961-9500

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417085804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E 2ND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "51025",
            "telephone_number": "515-961-9500",
            "fax_number": "515-961-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 E 2ND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252898",
            "telephone_number": "515-961-9500",
            "fax_number": "515-961-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANOLA COMMUNITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERMELAND",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSOCIATE SUPERINTENDENT",
        "authorized_official_telephone_number": "515-961-9500",
        "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": "0482778",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, 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.