Organization Active NPI

Brooklyn-Guernsey-Malcom C.S.D.

  • Local Education Agency (LEA)
  • Brooklyn, IA
National Provider Identifier
1750438602
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
BROOKLYN-GUERNSEY-MALCOM C.S.D.
Practice address
1090 Jackson St
Brooklyn, IA 52211-9705
Phone
(641) 522-7058
NPI assigned
Jan 4, 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
Terry McLeod
Title
Superintendent
Phone
(641) 522-7058

Specialties & licenses 1

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

Addresses

Primary practice location

1090 Jackson St
Brooklyn, IA 52211-9705

Mailing address

1090 Jackson St
Brooklyn, IA 52211-9705
Phone (641) 522-7058

Other identifiers 1

IdentifierTypeStateIssuer
0431817MedicaidIA

National Provider Directory

National Provider Directory

Locations

1090 Jackson St
Brooklyn, IA 52211
Phone (641) 522-7058

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750438602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 JACKSON ST",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522119705",
            "telephone_number": "641-522-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 JACKSON ST",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522119705",
            "telephone_number": "641-522-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN-GUERNSEY-MALCOM C.S.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "641-522-7058"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431817",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.