RUDD ROCKFORD MARBLE ROCK (NPI# 1053436758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053436758 |
Entity Type | Organization |
Organization Name | RUDD ROCKFORD MARBLE ROCK |
Other Organization Name | AREA EDUCATION AGENCY 267 |
Practice Address |
1460 210th St Rockford IA 50468-8192 |
Practice Telephone | 6417563610 |
Practice Fax Number | 6417562369 |
Mailing Telephone | 6417563610 |
Mailing Fax Number | 6417562369 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. STEVE WARD (SUPERINTENDENT) |
Authorized Official Telephone | 6417563610 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0427062 | 05 |
Other Name | Type Code |
---|---|
Area Education Agency 267 | Other Name - Individual/Organization |
Street Address |
1460 210TH ST |
City | ROCKFORD |
State | IA |
Zip Code | 50468-8192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
1093165037 | Colin Devary | Physical Therapy Assistant | 110 2nd St Se, Rockford, IA 50468-1251 | 2016-06-21 |
1609881457 | North Iowa Mercy Clinics | Family Medicine | 702 E Main Ave, Rockford, IA 50468-1324 | 2006-07-30 |
1699251223 | Kimberly Ann Kuehner | Nurse Practitioner | 702 E Main Ave, Rockford, IA 50468-1324 | 2018-07-17 |
1831601335 | Bethany Grant | Nurse Practitioner | 702 E Main Ave, Rockford, IA 50468-1324 | 2017-10-25 |
1164854105 | Kimberely S Sarik | Nurse Practitioner | 702 E Main Ave, Rockford, IA 50468-1324 | 2013-08-01 |
1174539639 | Michael C Lindstrom | Family Medicine | 702 E Main Ave, Rockford, IA 50468-1324 | 2006-08-01 |
1154337632 | Lisa A Kapler | Family Medicine | 702 E Main Ave, Rockford, IA 50468-1324 | 2006-08-01 |
1821039942 | Jeanne Renee Staudt | Chiropractor | 133 W Main Ave, Rockford, IA 50468-7719 | 2006-06-09 |
1235489048 | Prairieland Chiropractic P C | Chiropractor | 133 W Main Ave, Rockford, IA 50468-7719 | 2012-09-19 |
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Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
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1689895906 | Linda Lou O'reilly | Local Education Agency (LEA) | 1515 S. Meridian Road, Rockford, IL 61102 | 2007-05-02 |
1376664631 | Coosa County | Local Education Agency (LEA) | 2001 Nixburg Road, Rockford, AL 35136 | 2007-04-03 |
1770651754 | Ind School Dist 883 | Local Education Agency (LEA) | 6051 Ash Street, Rockford, MN 55373-0009 | 2006-11-30 |
1801907530 | Freeman School District #358 | Local Education Agency (LEA) | 15001 S Jackson Rd, Rockford, WA 99030-9755 | 2006-08-31 |
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1023665726 | West Central Community School | Local Education Agency (LEA) | 305 Pember St, Maynard, IA 50655-7660 | 2019-08-19 |
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1265918817 | Odebolt Arthur Battle Creek Ida Grove Community School District | Local Education Agency (LEA) | 900 John Montgomery Dr, Ida Grove, IA 51445-1600 | 2018-07-17 |
1558800458 | Lu Verne Community School District | Local Education Agency (LEA) | 405 Hanna Ave, Lu Verne, IA 50560-8712 | 2017-02-13 |
1902358773 | Griswold Community School District | Local Education Agency (LEA) | 20 Madison St, Griswold, IA 51535-2092 | 2016-10-27 |
1598215394 | Coon Rapids-bayard Community School District | Local Education Agency (LEA) | 905 North St, Coon Rapids, IA 50058-1114 | 2016-10-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.