Provider Demographics
NPI:1750497558
Name:MARSHALL COMM UNIT SCHOOL DIST 2
Entity Type:Organization
Organization Name:MARSHALL COMM UNIT SCHOOL DIST 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-826-5912
Mailing Address - Street 1:503 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:IL
Mailing Address - Zip Code:62441-1467
Mailing Address - Country:US
Mailing Address - Phone:217-826-5912
Mailing Address - Fax:217-826-5170
Practice Address - Street 1:503 PINE ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:IL
Practice Address - Zip Code:62441-1467
Practice Address - Country:US
Practice Address - Phone:217-826-5912
Practice Address - Fax:217-826-5170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid