Provider Demographics
NPI:1639293913
Name:TRIAD COMM UNIT SCHOOL DIST 2
Entity Type:Organization
Organization Name:TRIAD COMM UNIT SCHOOL DIST 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-667-6040
Mailing Address - Street 1:203 E THROP ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:IL
Mailing Address - Zip Code:62294-1231
Mailing Address - Country:US
Mailing Address - Phone:618-667-6040
Mailing Address - Fax:618-667-8030
Practice Address - Street 1:203 E THROP ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:IL
Practice Address - Zip Code:62294-1231
Practice Address - Country:US
Practice Address - Phone:618-667-6040
Practice Address - Fax:618-667-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)