Provider Demographics
NPI:1538297981
Name:WOODBURY CENTRAL CSD
Entity Type:Organization
Organization Name:WOODBURY CENTRAL CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-873-3128
Mailing Address - Street 1:408 SOUTH FOURTH
Mailing Address - Street 2:PO BOX 586
Mailing Address - City:MOVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51039
Mailing Address - Country:US
Mailing Address - Phone:712-873-3128
Mailing Address - Fax:
Practice Address - Street 1:408 SOUTH FOURTH
Practice Address - Street 2:
Practice Address - City:MOVILLE
Practice Address - State:IA
Practice Address - Zip Code:51039
Practice Address - Country:US
Practice Address - Phone:712-873-3128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
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
IA0446955Medicaid