MEDICARE: STARMONT COMMUNITY SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1841541554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARMONT COMMUNITY SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	3202 40TH ST
Second Line	:
City	:	ARLINGTON
State	:	IA
Zip	:	50606-8139
Country	:	US
Telephone Number	:	563-933-4598
Fax Number	:	563-933-2134

Provider Business Practice Location Address
First Line	:	3202 40TH ST
Second Line	:
City	:	ARLINGTON
State	:	IA
Zip	:	50606-8139
Country	:	US
Telephone Number	:	563-933-4598
Fax Number	:	563-933-2134

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MATTHEW O'LOUGHLIN
Credential	:
Telephone Number	:	563-933-4598

Provider Enumeration Date	:	09/21/2012
Last Update Date	:	09/21/2012

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