MEDICARE: BATTLE CREEK-IDA GROVE 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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699974410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BATTLE CREEK-IDA GROVE COMMUNITY SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	301 MOOREHEAD ST
Second Line	:
City	:	IDA GROVE
State	:	IA
Zip	:	51445-1428
Country	:	US
Telephone Number	:	712-364-2255
Fax Number	:	712-364-3609

Provider Business Practice Location Address
First Line	:	301 MOOREHEAD ST
Second Line	:
City	:	IDA GROVE
State	:	IA
Zip	:	51445-1428
Country	:	US
Telephone Number	:	712-364-2255
Fax Number	:	712-364-3609

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MRS. KATHY A. LEONARD
Credential	:
Telephone Number	:	712-364-2255

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	09/26/2007

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