Provider Demographics
NPI:1952649386
Name:EARLHAM COMMUNITY SCHOOL
Entity Type:Organization
Organization Name:EARLHAM COMMUNITY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-758-2235
Mailing Address - Street 1:535 N CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:EARLHAM
Mailing Address - State:IA
Mailing Address - Zip Code:50072-1035
Mailing Address - Country:US
Mailing Address - Phone:515-758-2235
Mailing Address - Fax:515-758-2215
Practice Address - Street 1:535 N CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:EARLHAM
Practice Address - State:IA
Practice Address - Zip Code:50072-1035
Practice Address - Country:US
Practice Address - Phone:515-758-2235
Practice Address - Fax:515-758-2215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)