Provider Demographics
NPI:1871656280
Name:ROSCOE C-1 SCHOOL
Entity Type:Organization
Organization Name:ROSCOE C-1 SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-646-2376
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:MO
Mailing Address - Zip Code:64781-0128
Mailing Address - Country:US
Mailing Address - Phone:417-646-2376
Mailing Address - Fax:417-646-2856
Practice Address - Street 1:MAIN & RAMSEY ST.
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:MO
Practice Address - Zip Code:64781-0128
Practice Address - Country:US
Practice Address - Phone:417-646-2376
Practice Address - Fax:417-646-2856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)