Provider Demographics
NPI:1467623645
Name:MADISON CO SPEC EDUC JA REG 1
Entity Type:Organization
Organization Name:MADISON CO SPEC EDUC JA REG 1
Other - Org Name:COUNTY OF MADISON GRANITE CITY COM UNIT SCH DIST 9
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-451-5800
Mailing Address - Street 1:1947 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:GRANITE CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62040-3311
Mailing Address - Country:US
Mailing Address - Phone:618-451-5800
Mailing Address - Fax:
Practice Address - Street 1:1947 ADAMS ST
Practice Address - Street 2:
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040-3311
Practice Address - Country:US
Practice Address - Phone:618-451-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MADISON GRANITE CITY COM UNIT SCH DIST 9
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)