Provider Demographics
NPI:1265756688
Name:OGDEN COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:OGDEN COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEDERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-275-2894
Mailing Address - Street 1:732 W DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:IA
Mailing Address - Zip Code:50212-3021
Mailing Address - Country:US
Mailing Address - Phone:515-275-2894
Mailing Address - Fax:515-275-4537
Practice Address - Street 1:732 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:IA
Practice Address - Zip Code:50212-3021
Practice Address - Country:US
Practice Address - Phone:515-275-2894
Practice Address - Fax:515-275-4537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0102782Medicaid