Provider Demographics
NPI:1043360258
Name:CENTER POINT-URBANA CSD
Entity Type:Organization
Organization Name:CENTER POINT-URBANA CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:N
Authorized Official - Last Name:RAUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-849-1102
Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:IA
Mailing Address - Zip Code:52213-0296
Mailing Address - Country:US
Mailing Address - Phone:319-849-1102
Mailing Address - Fax:319-849-2312
Practice Address - Street 1:102 TRADER ST.
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:IA
Practice Address - Zip Code:52213-0296
Practice Address - Country:US
Practice Address - Phone:319-849-1102
Practice Address - Fax:319-849-2312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0293357Medicaid