Provider Demographics
NPI:1770780702
Name:WEST BURLINGTON INDEPENDENT SCHOOL DISTRICT
Entity type:Organization
Organization Name:WEST BURLINGTON INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-752-8747
Mailing Address - Street 1:211 RAMSEY ST
Mailing Address - Street 2:
Mailing Address - City:W BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1107
Mailing Address - Country:US
Mailing Address - Phone:319-752-8747
Mailing Address - Fax:319-754-9382
Practice Address - Street 1:211 RAMSEY ST
Practice Address - Street 2:
Practice Address - City:W BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1107
Practice Address - Country:US
Practice Address - Phone:319-752-8747
Practice Address - Fax:319-754-9382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0795948Medicaid