Provider Demographics
NPI:1154478683
Name:DIAGONAL C.S.D.
Entity Type:Organization
Organization Name:DIAGONAL C.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-734-5331
Mailing Address - Street 1:403 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DIAGONAL
Mailing Address - State:IA
Mailing Address - Zip Code:50845-0094
Mailing Address - Country:US
Mailing Address - Phone:641-734-5331
Mailing Address - Fax:
Practice Address - Street 1:403 W 2ND ST
Practice Address - Street 2:
Practice Address - City:DIAGONAL
Practice Address - State:IA
Practice Address - Zip Code:50845-0094
Practice Address - Country:US
Practice Address - Phone:641-734-5331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0426965Medicaid