Provider Demographics
NPI:1578732129
Name:GOREVILLE COMMUNITY UNIT NO 1
Entity Type:Organization
Organization Name:GOREVILLE COMMUNITY UNIT NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-995-9831
Mailing Address - Street 1:201 S FERNE CLYFFE RD
Mailing Address - Street 2:
Mailing Address - City:GOREVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62939-2698
Mailing Address - Country:US
Mailing Address - Phone:618-995-9831
Mailing Address - Fax:618-998-9831
Practice Address - Street 1:201 S FERNE CLYFFE RD
Practice Address - Street 2:
Practice Address - City:GOREVILLE
Practice Address - State:IL
Practice Address - Zip Code:62939-2698
Practice Address - Country:US
Practice Address - Phone:618-995-9831
Practice Address - Fax:618-998-9831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)