Provider Demographics
NPI:1174637714
Name:MECOSTA-OSCEOLA INTERMEDIATE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MECOSTA-OSCEOLA INTERMEDIATE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:231-796-3543
Mailing Address - Street 1:15760 190TH AVE
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-9096
Mailing Address - Country:US
Mailing Address - Phone:231-796-3543
Mailing Address - Fax:231-796-3300
Practice Address - Street 1:15760 190TH AVE
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-9096
Practice Address - Country:US
Practice Address - Phone:231-796-3543
Practice Address - Fax:231-796-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3022422Medicaid