Provider Demographics
NPI:1558513952
Name:MONITEAU COUNTY C-I SCHOOL
Entity Type:Organization
Organization Name:MONITEAU COUNTY C-I SCHOOL
Other - Org Name:JAMESTOWN C-I SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-849-2141
Mailing Address - Street 1:222 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:65046-1303
Mailing Address - Country:US
Mailing Address - Phone:660-849-2141
Mailing Address - Fax:660-849-6123
Practice Address - Street 1:222 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:MO
Practice Address - Zip Code:65046-1303
Practice Address - Country:US
Practice Address - Phone:660-849-2141
Practice Address - Fax:660-849-6123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO486123102Medicaid
MO466123106Medicaid
MO476123104Medicaid