Active NPI
Great River Aea 16
- Local Education Agency (LEA)
- Burlington, IA
National Provider Identifier
1982769766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- GREAT RIVER AEA 16
- Practice address
- 3601 West Avenue Road
Burlington, IA 52601 - Phone
- (319) 753-6561
- Fax
- (319) 753-1527
- NPI assigned
- Dec 22, 2006
- 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
- Jeff Hamarstrom
- Title
- Director of Special Education
- Phone
- (319) 753-6561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
3601 West Avenue Road
Burlington, IA 52601
Mailing address
3601 West Avenue Road
Burlington, IA 52601
Phone (319) 753-6561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0284638 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Great River Aea 16
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Burlington, IA
- NPI 1023173853
Locations
3601 West Ave
Burlington, IA 52601
Phone (309) 373-2621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982769766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 WEST AVENUE ROAD",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "52601",
"telephone_number": "319-753-6561",
"fax_number": "319-753-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 WEST AVENUE ROAD",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "52601",
"telephone_number": "319-753-6561",
"fax_number": "319-753-1527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT RIVER AEA 16",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAMARSTROM",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
"authorized_official_telephone_number": "319-753-6561"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0284638",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, 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.