MEDICARE: COLO NESCO COMM SCHOOLS

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	:	1871822395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLO NESCO COMM SCHOOLS

Provider Business Mailing Address
First Line	:	400 LATROBE AVE
Second Line	:	PO BOX B
City	:	MC CALLSBURG
State	:	IA
Zip	:	50154-7714
Country	:	US
Telephone Number	:	515-434-2320
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 LATROBE AVE
Second Line	:	PO BOX B
City	:	MC CALLSBURG
State	:	IA
Zip	:	50154-7714
Country	:	US
Telephone Number	:	515-434-2320
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. GARY PILLMAN
Credential	:
Telephone Number	:	515-434-2320

Provider Enumeration Date	:	12/11/2009
Last Update Date	:	12/11/2009

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Directions to “COLO NESCO COMM SCHOOLS ” Practice Location

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