Provider Demographics
NPI:1831218726
Name:DECORAH COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:DECORAH COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. OF BUSINESS SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEFZGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-382-4208
Mailing Address - Street 1:510 WINNEBAGO ST
Mailing Address - Street 2:
Mailing Address - City:DECORAH
Mailing Address - State:IA
Mailing Address - Zip Code:52101-1842
Mailing Address - Country:US
Mailing Address - Phone:563-382-4208
Mailing Address - Fax:
Practice Address - Street 1:510 WINNEBAGO ST
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-1842
Practice Address - Country:US
Practice Address - Phone:563-382-4208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
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
IA0420208Medicare ID - Type Unspecified