Provider Demographics
NPI:1619175726
Name:CALDWELL PARISH SCHOOL BOARD
Entity Type:Organization
Organization Name:CALDWELL PARISH SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-649-2689
Mailing Address - Street 1:219 MAIN ST
Mailing Address - Street 2:PO BOX 1019
Mailing Address - City:COLUMBIA
Mailing Address - State:LA
Mailing Address - Zip Code:71418
Mailing Address - Country:US
Mailing Address - Phone:318-649-2689
Mailing Address - Fax:318-649-0636
Practice Address - Street 1:219 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:LA
Practice Address - Zip Code:71418
Practice Address - Country:US
Practice Address - Phone:318-649-2689
Practice Address - Fax:318-649-0636
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALDWELL PARISH SCHOOL BOARD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1415723Medicaid