Provider Demographics
NPI:1083638696
Name:NORTH SCOTT CSD
Entity Type:Organization
Organization Name:NORTH SCOTT CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HINTZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-285-4147
Mailing Address - Street 1:251 E IOWA ST
Mailing Address - Street 2:
Mailing Address - City:ELDRIDGE
Mailing Address - State:IA
Mailing Address - Zip Code:52748-1917
Mailing Address - Country:US
Mailing Address - Phone:563-285-4147
Mailing Address - Fax:
Practice Address - Street 1:251 E IOWA ST
Practice Address - Street 2:
Practice Address - City:ELDRIDGE
Practice Address - State:IA
Practice Address - Zip Code:52748-1917
Practice Address - Country:US
Practice Address - Phone:563-285-4147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
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
IA0248559Medicaid