Provider Demographics
NPI:1154488138
Name:ANITA COMMUNITY SCHOOL
Entity Type:Organization
Organization Name:ANITA COMMUNITY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-762-3238
Mailing Address - Street 1:1000 VICTORY PARK RD
Mailing Address - Street 2:
Mailing Address - City:ANITA
Mailing Address - State:IA
Mailing Address - Zip Code:50020-1119
Mailing Address - Country:US
Mailing Address - Phone:712-762-3238
Mailing Address - Fax:712-762-3713
Practice Address - Street 1:1000 VICTORY PARK RD
Practice Address - Street 2:
Practice Address - City:ANITA
Practice Address - State:IA
Practice Address - Zip Code:50020-1119
Practice Address - Country:US
Practice Address - Phone:712-762-3238
Practice Address - Fax:712-762-3713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1979032 EMedicaid
IA2252089 AMedicaid
IA2270407 DMedicaid
IA2058345 CMedicaid