Provider Demographics
NPI:1174687792
Name:ALLAMAKEE COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ALLAMAKEE COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HEROLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-568-3409
Mailing Address - Street 1:1059 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:WAUKON
Mailing Address - State:IA
Mailing Address - Zip Code:52172-1403
Mailing Address - Country:US
Mailing Address - Phone:563-568-3409
Mailing Address - Fax:563-568-2677
Practice Address - Street 1:1059 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172-1403
Practice Address - Country:US
Practice Address - Phone:563-568-3409
Practice Address - Fax:563-568-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
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
IA0432088Medicaid