Provider Demographics
NPI:1477685345
Name:CLARION-GOLDFIELD COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CLARION-GOLDFIELD COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FERN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPELLMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-532-2648
Mailing Address - Street 1:1111 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-1246
Mailing Address - Country:US
Mailing Address - Phone:515-532-2648
Mailing Address - Fax:
Practice Address - Street 1:1111 WILLOW DR
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-1246
Practice Address - Country:US
Practice Address - Phone:515-532-2648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
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
IA0298794Medicaid