Provider Demographics
NPI:1790893584
Name:GIRARD COMM UNIT SCHOOL DIST #3
Entity Type:Organization
Organization Name:GIRARD COMM UNIT SCHOOL DIST #3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-627-2915
Mailing Address - Street 1:525 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:IL
Mailing Address - Zip Code:62640-1157
Mailing Address - Country:US
Mailing Address - Phone:217-627-2915
Mailing Address - Fax:217-627-3519
Practice Address - Street 1:525 N 3RD ST
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:IL
Practice Address - Zip Code:62640-1157
Practice Address - Country:US
Practice Address - Phone:217-627-2915
Practice Address - Fax:217-627-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
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