Provider Demographics
NPI:1033154901
Name:SHIAWASSEE REGIONAL EDUCATION SERVICE DISTRICT
Entity Type:Organization
Organization Name:SHIAWASSEE REGIONAL EDUCATION SERVICE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-743-3471
Mailing Address - Street 1:1025 N SHIAWASSEE ST
Mailing Address - Street 2:
Mailing Address - City:CORUNNA
Mailing Address - State:MI
Mailing Address - Zip Code:48817-1151
Mailing Address - Country:US
Mailing Address - Phone:989-743-3471
Mailing Address - Fax:989-743-9601
Practice Address - Street 1:1025 N SHIAWASSEE ST
Practice Address - Street 2:
Practice Address - City:CORUNNA
Practice Address - State:MI
Practice Address - Zip Code:48817-1151
Practice Address - Country:US
Practice Address - Phone:989-743-3471
Practice Address - Fax:989-743-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)