Provider Demographics
NPI:1851441315
Name:ALBURNETT CSD
Entity Type:Organization
Organization Name:ALBURNETT CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ELEMENTARY PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-842-2261
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:ALBURNETT
Mailing Address - State:IA
Mailing Address - Zip Code:52202-0189
Mailing Address - Country:US
Mailing Address - Phone:319-842-2261
Mailing Address - Fax:319-842-2398
Practice Address - Street 1:BOX 189
Practice Address - Street 2:
Practice Address - City:ALBURNETT
Practice Address - State:KS
Practice Address - Zip Code:52202
Practice Address - Country:US
Practice Address - Phone:319-842-2261
Practice Address - Fax:319-842-2398
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
IA0478495Medicaid