Provider Demographics
NPI:1134206915
Name:VALLEY COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:VALLEY COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLUMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-426-5501
Mailing Address - Street 1:23493 CANOE ROAD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IA
Mailing Address - Zip Code:52141-9634
Mailing Address - Country:US
Mailing Address - Phone:563-426-5501
Mailing Address - Fax:563-426-5502
Practice Address - Street 1:23493 CANOE RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IA
Practice Address - Zip Code:52141-9634
Practice Address - Country:US
Practice Address - Phone:563-426-5501
Practice Address - Fax:563-426-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
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
IA0432880Medicaid