Provider Demographics
NPI:1518311109
Name:CAMPBELL MONTESSORI SCHOOL
Entity Type:Organization
Organization Name:CAMPBELL MONTESSORI SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-477-8200
Mailing Address - Street 1:3880 SHADY SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-4126
Mailing Address - Country:US
Mailing Address - Phone:636-477-8200
Mailing Address - Fax:
Practice Address - Street 1:3880 SHADY SPRINGS LN
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-4126
Practice Address - Country:US
Practice Address - Phone:636-477-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care