Provider Demographics
NPI:1922250315
Name:CENTERVILLE R-1
Entity Type:Organization
Organization Name:CENTERVILLE R-1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINERSHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-648-2285
Mailing Address - Street 1:2354 S GREEN ST.
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63633
Mailing Address - Country:US
Mailing Address - Phone:573-648-2285
Mailing Address - Fax:573-648-2282
Practice Address - Street 1:2354 S GREEN ST.
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MO
Practice Address - Zip Code:63633
Practice Address - Country:US
Practice Address - Phone:573-648-2285
Practice Address - Fax:573-648-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)