Provider Demographics
NPI:1578730198
Name:DE SOTO PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:DE SOTO PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURKEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:636-586-1000
Mailing Address - Street 1:610 VINELAND SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:MO
Mailing Address - Zip Code:63020-2561
Mailing Address - Country:US
Mailing Address - Phone:636-586-1000
Mailing Address - Fax:
Practice Address - Street 1:610 VINELAND SCHOOL RD
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:MO
Practice Address - Zip Code:63020-2561
Practice Address - Country:US
Practice Address - Phone:636-586-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO466116308Medicaid
MO506116300Medicaid