Provider Demographics
NPI:1962507988
Name:PARIS COMMUNITY UNIT SCHOOL DISTRICT #4
Entity Type:Organization
Organization Name:PARIS COMMUNITY UNIT SCHOOL DISTRICT #4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-465-5391
Mailing Address - Street 1:15601 US HIGHWAY 150
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:IL
Mailing Address - Zip Code:61944-6071
Mailing Address - Country:US
Mailing Address - Phone:217-465-5391
Mailing Address - Fax:217-466-1225
Practice Address - Street 1:15601 US HIGHWAY 150
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:IL
Practice Address - Zip Code:61944-6071
Practice Address - Country:US
Practice Address - Phone:217-465-5391
Practice Address - Fax:217-466-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid