Provider Demographics
NPI:1477683068
Name:MONROE CITY R-I SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MONROE CITY R-I SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-735-4631
Mailing Address - Street 1:401 HWYS 24-36 EAST
Mailing Address - Street 2:
Mailing Address - City:MONROE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63456-1398
Mailing Address - Country:US
Mailing Address - Phone:573-735-4631
Mailing Address - Fax:573-735-2413
Practice Address - Street 1:401 HWYS 24-36 EAST
Practice Address - Street 2:
Practice Address - City:MONROE CITY
Practice Address - State:MO
Practice Address - Zip Code:63456-1398
Practice Address - Country:US
Practice Address - Phone:573-735-4631
Practice Address - Fax:573-735-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506078104Medicaid