Provider Demographics
NPI:1295918944
Name:H-L-V CSD
Entity type:Organization
Organization Name:H-L-V CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-647-2161
Mailing Address - Street 1:501 4TH STREET
Mailing Address - Street 2:PO BOX B
Mailing Address - City:VICTOR
Mailing Address - State:IA
Mailing Address - Zip Code:52347
Mailing Address - Country:US
Mailing Address - Phone:319-647-2161
Mailing Address - Fax:
Practice Address - Street 1:501 4TH STREET
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:IA
Practice Address - Zip Code:52347
Practice Address - Country:US
Practice Address - Phone:319-647-2161
Practice Address - Fax:319-647-2164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0423251Medicaid