Organization
BENTON COMMUNITY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG EMBRAY (BUSINESS MANAGER)
(319) 228-8701
Entity
Organization
Contact information
Practice address
304 1ST STREET, VAN HORNE, IA 52346-0070
(319) 228-8701
(319) 228-8874
Mailing address
PO BOX 70, VAN HORNE, IA 52346-0070
(319) 228-8701
(319) 228-8874
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
060609
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282004
—
IA
Enumeration date
01/04/2007
Last updated
08/22/2020
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