Provider Demographics
NPI:1811012529
Name:WAPSIE VALLEY COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WAPSIE VALLEY 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:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-638-6711
Mailing Address - Street 1:2535 VIKING AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBANK
Mailing Address - State:IA
Mailing Address - Zip Code:50629-9138
Mailing Address - Country:US
Mailing Address - Phone:319-638-6711
Mailing Address - Fax:319-638-7061
Practice Address - Street 1:2535 VIKING AVE
Practice Address - Street 2:
Practice Address - City:FAIRBANK
Practice Address - State:IA
Practice Address - Zip Code:50629-9138
Practice Address - Country:US
Practice Address - Phone:319-638-6711
Practice Address - Fax:319-638-7061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
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
IA0424945Medicaid