Northwest Aea 12

LBN: Northwest Aea 12
Northwest Aea 12 is an health care organization with primary practice located at 1520 Morningside Ave , Sioux City IA 51106-1716. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Northwest Aea 12 can be contacted via phone (712) 274-6000, or through Hess, Roger via phone (712) 274-6000.

Contact Information

Primary practice address
1520 Morningside Ave Sioux City IA 51106-1716
Phone: (712) 274-6000
Fax: (712) 274-6115
Website:
Map and Directions
Authorized official contact:
Name: Hess, Roger
Phone: (712) 274-6000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1649335183
LBN Legal business name Northwest Aea 12
DBA Doing business as
Authorized official Hess, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649335183 NPPES
Iowa MEDICAID 0494070

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