Provider Demographics
NPI:1184846552
Name:RIVER VALLEY CSD
Entity Type:Organization
Organization Name:RIVER VALLEY CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONITA
Authorized Official - Middle Name:LAN
Authorized Official - Last Name:JOENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-372-4420
Mailing Address - Street 1:916 HACKBERRY STREET
Mailing Address - Street 2:
Mailing Address - City:CORRECTIONVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51016
Mailing Address - Country:US
Mailing Address - Phone:712-372-4420
Mailing Address - Fax:712-372-4677
Practice Address - Street 1:916 HACKBERRY STREET
Practice Address - Street 2:
Practice Address - City:CORRECTIONVILLE
Practice Address - State:IA
Practice Address - Zip Code:51016
Practice Address - Country:US
Practice Address - Phone:712-372-4420
Practice Address - Fax:712-372-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2382925EMedicaid