Provider Demographics
NPI:1659854982
Name:GALENA R-II
Entity Type:Organization
Organization Name:GALENA R-II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-357-6377
Mailing Address - Street 1:54 MEDICAL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:MO
Mailing Address - Zip Code:65656-8386
Mailing Address - Country:US
Mailing Address - Phone:417-357-6377
Mailing Address - Fax:
Practice Address - Street 1:54 MEDICAL SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:MO
Practice Address - Zip Code:65656-8386
Practice Address - Country:US
Practice Address - Phone:417-357-6377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)