Provider Demographics
NPI:1629125141
Name:NORTH CEDAR C.S.D.
Entity Type:Organization
Organization Name:NORTH CEDAR C.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:FUERSTENAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-942-3358
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:52337-0247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:102 E. NORTH
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:IA
Practice Address - Zip Code:52337
Practice Address - Country:US
Practice Address - Phone:563-942-3358
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
IA0423236Medicaid