Provider Demographics
NPI:1467622845
Name:AKIN COMMUNITY CONSOLIDATED SCHOOL DISTRICT 91
Entity Type:Organization
Organization Name:AKIN COMMUNITY CONSOLIDATED SCHOOL DISTRICT 91
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-627-2180
Mailing Address - Street 1:21962 AKIN BLACKTOP
Mailing Address - Street 2:
Mailing Address - City:AKIN
Mailing Address - State:IL
Mailing Address - Zip Code:62805
Mailing Address - Country:US
Mailing Address - Phone:618-627-2180
Mailing Address - Fax:618-627-2119
Practice Address - Street 1:21962 AKIN BLACKTOP
Practice Address - Street 2:
Practice Address - City:AKIN
Practice Address - State:IL
Practice Address - Zip Code:62805
Practice Address - Country:US
Practice Address - Phone:618-627-2180
Practice Address - Fax:618-627-2119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)