Provider Demographics
NPI:1508918228
Name:GOGEBIC-ONTONAGON ISD
Entity Type:Organization
Organization Name:GOGEBIC-ONTONAGON ISD
Other - Org Name:GOISD
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-575-3438
Mailing Address - Street 1:202 ELM STREET
Mailing Address - Street 2:PO BOX 218
Mailing Address - City:BERGLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49910
Mailing Address - Country:US
Mailing Address - Phone:906-575-3438
Mailing Address - Fax:906-575-3373
Practice Address - Street 1:202 ELM STREET
Practice Address - Street 2:202 ELM STREET
Practice Address - City:BERGLAND
Practice Address - State:MI
Practice Address - Zip Code:49910-0218
Practice Address - Country:US
Practice Address - Phone:906-575-3438
Practice Address - Fax:906-575-3373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)