Provider Demographics
NPI:1003143181
Name:BENNETT COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BENNETT COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-890-2226
Mailing Address - Street 1:300 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BENNETT
Mailing Address - State:IA
Mailing Address - Zip Code:52721-7701
Mailing Address - Country:US
Mailing Address - Phone:563-890-2228
Mailing Address - Fax:563-890-2937
Practice Address - Street 1:300 CEDAR ST
Practice Address - Street 2:
Practice Address - City:BENNETT
Practice Address - State:IA
Practice Address - Zip Code:52721-7701
Practice Address - Country:US
Practice Address - Phone:563-890-2228
Practice Address - Fax:563-890-2937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0402661Medicaid