Provider Demographics
NPI:1487832846
Name:VIENNA PUBLIC SCHOOL DISTRICT #55
Entity Type:Organization
Organization Name:VIENNA PUBLIC SCHOOL DISTRICT #55
Other - Org Name:VIENNA GRADE SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:COSCARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-658-8638
Mailing Address - Street 1:310 NORTH THIRD STREET
Mailing Address - Street 2:PO BOX 427
Mailing Address - City:VIENNA
Mailing Address - State:IL
Mailing Address - Zip Code:62995
Mailing Address - Country:US
Mailing Address - Phone:618-658-8286
Mailing Address - Fax:618-658-9036
Practice Address - Street 1:310 NORTH THIRD STREET
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:IL
Practice Address - Zip Code:62995-0310
Practice Address - Country:US
Practice Address - Phone:618-658-8286
Practice Address - Fax:618-658-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)