Provider Demographics
NPI:1003032640
Name:CHARITON COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CHARITON COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-774-5967
Mailing Address - Street 1:140 ALBIA RD
Mailing Address - Street 2:P.O. BOX 738
Mailing Address - City:CHARITON
Mailing Address - State:IA
Mailing Address - Zip Code:50049-2308
Mailing Address - Country:US
Mailing Address - Phone:641-774-5967
Mailing Address - Fax:641-774-8511
Practice Address - Street 1:140 ALBIA RD
Practice Address - Street 2:
Practice Address - City:CHARITON
Practice Address - State:IA
Practice Address - Zip Code:50049-2308
Practice Address - Country:US
Practice Address - Phone:641-774-5967
Practice Address - Fax:641-774-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0484527Medicaid