Provider Demographics
NPI:1902186109
Name:DEWEY PRAIRIE CONSOLIDATED SCHOOL CORPORATION
Entity Type:Organization
Organization Name:DEWEY PRAIRIE CONSOLIDATED SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORM
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-326-6808
Mailing Address - Street 1:11 N MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:IN
Mailing Address - Zip Code:46348-7007
Mailing Address - Country:US
Mailing Address - Phone:219-326-6808
Mailing Address - Fax:219-362-3313
Practice Address - Street 1:11 N MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:IN
Practice Address - Zip Code:46348-7007
Practice Address - Country:US
Practice Address - Phone:219-326-6808
Practice Address - Fax:219-362-3313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)