MEDICARE: SCHUYLER R-I SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1114066958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHUYLER R-I SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 339
Second Line	:
City	:	QUEEN CITY
State	:	MO
Zip	:	63561-0339
Country	:	US
Telephone Number	:	660-766-2204
Fax Number	:	660-766-2400

Provider Business Practice Location Address
First Line	:	N HWY 63
Second Line	:
City	:	QUEEN CITY
State	:	MO
Zip	:	63561-0339
Country	:	US
Telephone Number	:	660-766-2204
Fax Number	:	660-766-2400

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. MARTY ALBERTSON
Credential	:
Telephone Number	:	660-766-2204

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/22/2020

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