Provider Demographics
NPI:1902358773
Name:GRISWOLD COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:GRISWOLD COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRICHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-778-2152
Mailing Address - Street 1:20 MADISON ST
Mailing Address - Street 2:PO BOX 280
Mailing Address - City:GRISWOLD
Mailing Address - State:IA
Mailing Address - Zip Code:51535-2092
Mailing Address - Country:US
Mailing Address - Phone:712-778-2152
Mailing Address - Fax:712-778-2161
Practice Address - Street 1:20 MADISON ST
Practice Address - Street 2:
Practice Address - City:GRISWOLD
Practice Address - State:IA
Practice Address - Zip Code:51535-2092
Practice Address - Country:US
Practice Address - Phone:712-778-2152
Practice Address - Fax:712-778-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)