Healthcare Provider Details

I. General information

NPI: 1477683068
Provider Name (Legal Business Name): MONROE CITY R-I SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 12/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HWYS 24-36 EAST
MONROE CITY MO
63456-1398
US

IV. Provider business mailing address

401 HWYS 24-36 EAST
MONROE CITY MO
63456-1398
US

V. Phone/Fax

Practice location:
  • Phone: 573-735-4631
  • Fax: 573-735-2413
Mailing address:
  • Phone: 573-735-4631
  • Fax: 573-735-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES MASTERS
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 573-735-4631