Provider Demographics
NPI:1326231945
Name:NORTH POLK COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTH POLK COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BULTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-685-3014
Mailing Address - Street 1:313 NE 141ST AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEMAN
Mailing Address - State:IA
Mailing Address - Zip Code:50007-9727
Mailing Address - Country:US
Mailing Address - Phone:515-685-3014
Mailing Address - Fax:515-685-2002
Practice Address - Street 1:313 NE 141ST AVE
Practice Address - Street 2:
Practice Address - City:ALLEMAN
Practice Address - State:IA
Practice Address - Zip Code:50007-9727
Practice Address - Country:US
Practice Address - Phone:515-685-3014
Practice Address - Fax:515-685-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0433235Medicaid