Provider Demographics
NPI:1235435991
Name:NORTHEAST COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTHEAST COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-577-2249
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:GOOSE LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:52750-0066
Mailing Address - Country:US
Mailing Address - Phone:563-577-2249
Mailing Address - Fax:
Practice Address - Street 1:1450 370TH AVE
Practice Address - Street 2:
Practice Address - City:GOOSE LAKE
Practice Address - State:IA
Practice Address - Zip Code:52750
Practice Address - Country:US
Practice Address - Phone:563-577-2249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)