Provider Demographics
NPI:1235224536
Name:ATLANTIC COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ATLANTIC COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIGGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:712-243-4252
Mailing Address - Street 1:1100 LINN STREET
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC
Mailing Address - State:IA
Mailing Address - Zip Code:50022
Mailing Address - Country:US
Mailing Address - Phone:712-243-4252
Mailing Address - Fax:712-243-8023
Practice Address - Street 1:1100 LINN STREET
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022
Practice Address - Country:US
Practice Address - Phone:712-243-4252
Practice Address - Fax:712-243-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
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
IA0264374Medicaid