Provider Demographics
NPI:1245395847
Name:AREA EDUCATION AGENCY NO #13
Entity Type:Organization
Organization Name:AREA EDUCATION AGENCY NO #13
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-366-0503
Mailing Address - Street 1:HWY 92 EAST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51102-1109
Mailing Address - Country:US
Mailing Address - Phone:712-366-0503
Mailing Address - Fax:712-366-3431
Practice Address - Street 1:HWY 92 EAST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51102-1109
Practice Address - Country:US
Practice Address - Phone:712-366-0503
Practice Address - Fax:712-366-3431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0248914Medicaid