Organization Active NPI

Adel Desoto Minburn CSD

  • Local Education Agency (LEA)
  • Adel, IA
National Provider Identifier
1750414405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
32942193 Issued in IA
Legal business name
ADEL DESOTO MINBURN CSD
Practice address
801 Nile Kinnick Dr S
Adel, IA 50003-2024
Phone
(515) 993-4283
Fax
(515) 993-4866
NPI assigned
Mar 13, 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
Mrs. Shirley Kay McAdon
Title
Business Manager
Phone
(515) 993-4283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 32942193 IA Primary

Addresses

Primary practice location

801 Nile Kinnick Dr S
Adel, IA 50003-2024

Mailing address

801 Nile Kinnick Dr S
Adel, IA 50003-2024
Phone (515) 993-4283

Other identifiers 1

IdentifierTypeStateIssuer
0737940MedicaidIA

National Provider Directory

National Provider Directory

Locations

801 Nile Kinnick Dr S
Adel, IA 50003
Phone (402) 651-0166

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750414405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NILE KINNICK DR S",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032024",
            "telephone_number": "515-993-4283",
            "fax_number": "515-993-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NILE KINNICK DR S",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032024",
            "telephone_number": "515-993-4283",
            "fax_number": "515-993-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL DESOTO MINBURN CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCADON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "515-993-4283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IA",
            "license": "32942193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737940",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, 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.