Provider Demographics
NPI:1164751731
Name:BCMW COMMUNITY SERVICES
Entity Type:Organization
Organization Name:BCMW COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-532-3667
Mailing Address - Street 1:909 E REXFORD ST
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:IL
Mailing Address - Zip Code:62801-3033
Mailing Address - Country:US
Mailing Address - Phone:618-532-3667
Mailing Address - Fax:
Practice Address - Street 1:909 E REXFORD ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:IL
Practice Address - Zip Code:62801-3033
Practice Address - Country:US
Practice Address - Phone:618-532-3667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251V00000XAgenciesVoluntary or Charitable