Provider Demographics
NPI:1992854764
Name:JANESVILLE COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:JANESVILLE COMMUNITY SCHOOLS
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:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-987-2581
Mailing Address - Street 1:505 BARRICK RD
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50647-1046
Mailing Address - Country:US
Mailing Address - Phone:319-987-2581
Mailing Address - Fax:319-987-2824
Practice Address - Street 1:505 BARRICK RD
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:IA
Practice Address - Zip Code:50647-1046
Practice Address - Country:US
Practice Address - Phone:319-987-2581
Practice Address - Fax:319-987-2824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
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
IA0439836Medicaid