Provider Demographics
NPI:1932143211
Name:MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMETRIOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-777-2637
Mailing Address - Street 1:630 HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-4278
Mailing Address - Country:US
Mailing Address - Phone:231-777-2637
Mailing Address - Fax:231-773-3498
Practice Address - Street 1:915 WESLEY AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-2142
Practice Address - Country:US
Practice Address - Phone:231-773-9158
Practice Address - Fax:231-773-2324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)