Provider Demographics
NPI:1326175811
Name:GEORGE-LITTLE ROCK COMMUNITY SCHOOL
Entity Type:Organization
Organization Name:GEORGE-LITTLE ROCK COMMUNITY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-475-3311
Mailing Address - Street 1:500 E INDIANA AVE
Mailing Address - Street 2:PO BOX 6
Mailing Address - City:GEORGE
Mailing Address - State:IA
Mailing Address - Zip Code:51237-7730
Mailing Address - Country:US
Mailing Address - Phone:712-475-3311
Mailing Address - Fax:712-475-3574
Practice Address - Street 1:500 E. INDIANA AVE.
Practice Address - Street 2:
Practice Address - City:GEORGE
Practice Address - State:IA
Practice Address - Zip Code:51237-0006
Practice Address - Country:US
Practice Address - Phone:712-475-3311
Practice Address - Fax:712-475-3574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0421263Medicaid