Southern Prairie Aea 15

LBN: Southern Prairie Aea 15
Southern Prairie Aea 15 is an health care organization with primary practice located at 2814 N Court St , Ottumwa IA 52501-1163. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Southern Prairie Aea 15 can be contacted via phone (641) 682-8591, or through Becker, Mary Ellen via phone (641) 682-8591.

Contact Information

Primary practice address
2814 N Court St Ottumwa IA 52501-1163
Phone: (641) 682-8591
Fax: (641) 682-9083
Website:
Map and Directions
Authorized official contact:
Name: Becker, Mary Ellen
Phone: (641) 682-8591

Health care specialties

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

Profile Details

NPI number 1265598106
LBN Legal business name Southern Prairie Aea 15
DBA Doing business as
Authorized official Becker, Mary Ellen
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1265598106 NPPES
Iowa MEDICAID 0259002

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