1932260841 NPI number — IOWA CITY COMMUNITY SCHOOLS

Table of content: DR. THOMAS DEAN TINSMAN M.D. (NPI 1801893102)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932260841 NPI number — IOWA CITY COMMUNITY SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IOWA CITY COMMUNITY SCHOOLS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932260841
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
509 S DUBUQUE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IOWA CITY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52240-4228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-688-1000
Provider Business Mailing Address Fax Number:
319-688-1009

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
509 S DUBUQUE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52240-4228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-688-1000
Provider Business Practice Location Address Fax Number:
319-688-1009
Provider Enumeration Date:
12/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BEHLE
Authorized Official First Name:
JIM
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSOCIATE SUPERINTENDENT
Authorized Official Telephone Number:
319-688-1000

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0252221 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".