NPIMap

Organization Active NPI

Elk Horn-Kimballton Community School District

  • Local Education Agency (LEA)
  • Elk Horn, IA
National Provider Identifier
1710030440
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
ELK HORN-KIMBALLTON COMMUNITY SCHOOL DISTRICT
Practice address
4114 Madison St.
Elk Horn, IA 51531-0704
Phone
(712) 764-4616
Fax
(712) 764-4626
NPI assigned
Jan 18, 2007
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. David Casey Berlau
Title
Superintendent
Phone
(712) 764-4616

Specialties & licenses 1

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

Addresses

Primary practice location

4114 Madison St.
Elk Horn, IA 51531-0704

Mailing address

PO Box 388a
Elk Horn, IA 51531-0704
Phone (712) 764-4616

Other identifiers 1

IdentifierTypeStateIssuer
0472621MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Elk Horn-Kimballton Community School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710030440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388A",
            "city": "ELK HORN",
            "state": "IA",
            "postal_code": "515310704",
            "telephone_number": "712-764-4616",
            "fax_number": "712-764-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 MADISON ST.",
            "city": "ELK HORN",
            "state": "IA",
            "postal_code": "515310704",
            "telephone_number": "712-764-4616",
            "fax_number": "712-764-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK HORN-KIMBALLTON COMMUNITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERLAU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "712-764-4616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472621",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Horn, 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.