Western Dubuque CSD
Organization Active NPI Local Education Agency (LEA) · Farley, IA
NPI 1992729537 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992729537
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- WESTERN DUBUQUE CSD
- Practice address
- 405 3Rd Avenue NE
Farley, IA 52046-0279 - Phone
- (319) 744-3104
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David A Wegmann
- Title
- Business Manager
- Phone
- (563) 744-3104
National Provider Directory
Locations
405 3rd Ave NE
Farley, IA 52046
Phone (319) 744-3104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | IA | Yes |
Addresses
Primary practice location
405 3Rd Avenue NE
Farley, IA 52046-0279
Mailing address
405 3Rd Avenue NE
Farley, IA 52046-0279
Phone (319) 744-3104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251793 | Medicaid | IA |
Other providers in Farley, IA
- Flourishing Minds Integrative Psychiatry LLC
- Flourishing Minds Psychiatry, LLC
- Grant Kincaid
- Kyle Antony Schipper
- Ryan Matthew Stuntz
All providers in Farley, IA · Local Education Agency (LEA) in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.