Provider Demographics
NPI:1093852949
Name:JASPER C.C.S.D. 17
Entity Type:Organization
Organization Name:JASPER C.C.S.D. 17
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY, BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-842-3048
Mailing Address - Street 1:RR 3 BOX 473
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62837-9533
Mailing Address - Country:US
Mailing Address - Phone:618-842-3048
Mailing Address - Fax:618-842-3289
Practice Address - Street 1:RR 3 BOX 473
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IL
Practice Address - Zip Code:62837-9533
Practice Address - Country:US
Practice Address - Phone:618-842-3048
Practice Address - Fax:618-842-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILJASPER C.C.S.D. #17251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)