Provider Demographics
NPI:1952427015
Name:ALBIA C.S.D.
Entity Type:Organization
Organization Name:ALBIA C.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-932-5165
Mailing Address - Street 1:120 BENTON AVE E
Mailing Address - Street 2:
Mailing Address - City:ALBIA
Mailing Address - State:IA
Mailing Address - Zip Code:52531-2035
Mailing Address - Country:US
Mailing Address - Phone:641-932-5165
Mailing Address - Fax:641-932-5192
Practice Address - Street 1:120 BENTON AVE E
Practice Address - Street 2:
Practice Address - City:ALBIA
Practice Address - State:IA
Practice Address - Zip Code:52531-2035
Practice Address - Country:US
Practice Address - Phone:641-932-5165
Practice Address - Fax:641-932-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
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
IA0425140Medicaid