Provider Demographics
NPI:1750441028
Name:AREA EDUCATION AGENCY NO 1 OF IOWA
Entity type:Organization
Organization Name:AREA EDUCATION AGENCY NO 1 OF IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-245-1480
Mailing Address - Street 1:1400 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:ELKADER
Mailing Address - State:IA
Mailing Address - Zip Code:52043-9564
Mailing Address - Country:US
Mailing Address - Phone:563-245-1480
Mailing Address - Fax:563-245-1484
Practice Address - Street 1:1400 2ND ST NW
Practice Address - Street 2:
Practice Address - City:ELKADER
Practice Address - State:IA
Practice Address - Zip Code:52043-9564
Practice Address - Country:US
Practice Address - Phone:563-245-1480
Practice Address - Fax:563-245-1484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0051383Medicaid