Provider Demographics
NPI:1255488771
Name:NISHNA VALLEY C.S.D.
Entity Type:Organization
Organization Name:NISHNA VALLEY C.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSS
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-624-8696
Mailing Address - Street 1:58962 380TH ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:IA
Mailing Address - Zip Code:51540-4123
Mailing Address - Country:US
Mailing Address - Phone:712-624-8696
Mailing Address - Fax:
Practice Address - Street 1:58962 380TH ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:IA
Practice Address - Zip Code:51540-4123
Practice Address - Country:US
Practice Address - Phone:712-624-8696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0225896Medicaid