Provider Demographics
NPI:1023169422
Name:SIBLEY-OCHEYEDAN COMMUNITY SCHOOLS
Entity type:Organization
Organization Name:SIBLEY-OCHEYEDAN COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:OSTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:712-754-3636
Mailing Address - Street 1:120 11TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SIBLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51249-1416
Mailing Address - Country:US
Mailing Address - Phone:712-754-3636
Mailing Address - Fax:712-754-3994
Practice Address - Street 1:120 11TH AVE NE
Practice Address - Street 2:
Practice Address - City:SIBLEY
Practice Address - State:IA
Practice Address - Zip Code:51249-1416
Practice Address - Country:US
Practice Address - Phone:712-754-3636
Practice Address - Fax:712-754-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0282954Medicaid