Provider Demographics
NPI:1356498885
Name:NEWELL-FONDA C.S.D.
Entity Type:Organization
Organization Name:NEWELL-FONDA C.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-272-3324
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:NEWELL
Mailing Address - State:IA
Mailing Address - Zip Code:50568-0297
Mailing Address - Country:US
Mailing Address - Phone:712-272-3324
Mailing Address - Fax:
Practice Address - Street 1:205 S CLARK ST
Practice Address - Street 2:
Practice Address - City:NEWELL
Practice Address - State:IA
Practice Address - Zip Code:50568-5016
Practice Address - Country:US
Practice Address - Phone:712-272-3324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0225219Medicaid