Organization Active NPI

Iosco Regional Educational Service Agency

  • Local Education Agency (LEA)
  • Tawas City, MI
National Provider Identifier
1487664702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
IOSCO REGIONAL EDUCATIONAL SERVICE AGENCY
Practice address
27 N Rempert Rd
Tawas City, MI 48763-9752
Phone
(989) 362-3006
Fax
(989) 362-9076
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Caldwell, PHD
Title
Superintendent
Phone
(989) 362-3006

Specialties & licenses 1

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

Addresses

Primary practice location

27 N Rempert Rd
Tawas City, MI 48763-9752

Mailing address

27 N Rempert Rd
Tawas City, MI 48763-9752
Phone (989) 362-3006

Other identifiers 1

IdentifierTypeStateIssuer
3022404MedicaidMI

National Provider Directory

National Provider Directory

Locations

27 N Rempert Rd
Tawas City, MI 48763
Phone (989) 362-3006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487664702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N REMPERT RD",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639752",
            "telephone_number": "989-362-3006",
            "fax_number": "989-362-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N REMPERT RD",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639752",
            "telephone_number": "989-362-3006",
            "fax_number": "989-362-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOSCO REGIONAL EDUCATIONAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "989-362-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3022404",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.