Provider Demographics
NPI:1821420381
Name:INTERSTATE 35
Entity Type:Organization
Organization Name:INTERSTATE 35
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEOFF
Authorized Official - Middle Name:
Authorized Official - Last Name:TESSAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-765-4291
Mailing Address - Street 1:405 E NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:TRURO
Mailing Address - State:IA
Mailing Address - Zip Code:50257
Mailing Address - Country:US
Mailing Address - Phone:641-765-4291
Mailing Address - Fax:641-765-4593
Practice Address - Street 1:405 E NORTH STREET
Practice Address - Street 2:
Practice Address - City:TRURO
Practice Address - State:IA
Practice Address - Zip Code:50257
Practice Address - Country:US
Practice Address - Phone:641-765-4291
Practice Address - Fax:641-765-4593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)