Provider Demographics
NPI:1568511053
Name:CLARKSVILLE COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CLARKSVILLE COMMUNITY SCHOOL DISTRICT
Other - Org Name:AREA EDUCATION AGENCY 267
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGMUIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-278-4008
Mailing Address - Street 1:318 N MATHER STREET
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50619
Mailing Address - Country:US
Mailing Address - Phone:319-278-4008
Mailing Address - Fax:319-278-4618
Practice Address - Street 1:318 N MATHER STREET
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IA
Practice Address - Zip Code:50619
Practice Address - Country:US
Practice Address - Phone:319-278-4008
Practice Address - Fax:319-278-4618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
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
IA0432096Medicaid