Provider Demographics
NPI:1346308020
Name:WEST HARRISON CSD
Entity Type:Organization
Organization Name:WEST HARRISON CSD
Other - Org Name:WEST HARRISON COMMUNITY SCHOOL DISTRICT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANAE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN MS
Authorized Official - Phone:712-646-2231
Mailing Address - Street 1:410 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MONDAMIN
Mailing Address - State:IA
Mailing Address - Zip Code:51557-2023
Mailing Address - Country:US
Mailing Address - Phone:712-646-2231
Mailing Address - Fax:712-646-2891
Practice Address - Street 1:410 PINE ST
Practice Address - Street 2:
Practice Address - City:MONDAMIN
Practice Address - State:IA
Practice Address - Zip Code:51557-2023
Practice Address - Country:US
Practice Address - Phone:712-646-2231
Practice Address - Fax:712-646-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA104045251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)