Provider Demographics
NPI:1821171596
Name:MANISTEE INTERMEDIATE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MANISTEE INTERMEDIATE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-723-4264
Mailing Address - Street 1:1710 MERKEY RD W
Mailing Address - Street 2:
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-9180
Mailing Address - Country:US
Mailing Address - Phone:231-723-1689
Mailing Address - Fax:231-723-1690
Practice Address - Street 1:1710 MERKEY RD W
Practice Address - Street 2:
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660-9180
Practice Address - Country:US
Practice Address - Phone:231-723-1689
Practice Address - Fax:231-723-1690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)