Active NPI
Malvern C.S.D.
- Local Education Agency (LEA)
- Malvern, IA
National Provider Identifier
1790832038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- MALVERN C.S.D.
- Practice address
- 1505 E. 15TH St.
Malvern, IA 51551 - Phone
- (712) 624-8700
- NPI assigned
- Jan 5, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Lane
- Title
- Superintendent
- Phone
- (712) 624-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
1505 E. 15TH St.
Malvern, IA 51551
Mailing address
1505 E. 15TH St.
Malvern, IA 51551
Phone (712) 624-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0432518 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1505 15th St E
Malvern, IA 51551
Phone (712) 624-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790832038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 E. 15TH ST.",
"city": "MALVERN",
"state": "IA",
"postal_code": "51551",
"telephone_number": "712-624-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 E. 15TH ST.",
"city": "MALVERN",
"state": "IA",
"postal_code": "51551",
"telephone_number": "712-624-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALVERN C.S.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "712-624-8700"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0432518",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, IA
- Collins Drug
- Kohll's Pharmacy & Homecare (Kohll's Pharmacy)
- Kohlls Pharmacy & Homecare Inc
- Lancial Chiropractic
- Natalie Lancial, D.C
- Malvern Volunteer Rescue, Inc.
- Manor of Malvern Inc.
- Montgomery County Memorial Hospital (Malvern Medical Clinic)
- Morse Healthcare Services Inc.
- Caroline Obermiller, MHC
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.