Provider Demographics
NPI:1578767638
Name:CHILHOWEE R-IV SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CHILHOWEE R-IV SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARNHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-678-2511
Mailing Address - Street 1:101 HWY 2
Mailing Address - Street 2:
Mailing Address - City:CHILHOWEE
Mailing Address - State:MO
Mailing Address - Zip Code:64733
Mailing Address - Country:US
Mailing Address - Phone:660-678-2511
Mailing Address - Fax:660-678-5711
Practice Address - Street 1:101 HWY 2
Practice Address - Street 2:
Practice Address - City:CHILHOWEE
Practice Address - State:MO
Practice Address - Zip Code:64733
Practice Address - Country:US
Practice Address - Phone:660-678-2511
Practice Address - Fax:660-678-5711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506274802Medicaid