Provider Demographics
NPI:1992857254
Name:MARYVILLE R-II
Entity Type:Organization
Organization Name:MARYVILLE R-II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-562-3255
Mailing Address - Street 1:1429 SOUTH MUNN AVENUE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64468-2756
Mailing Address - Country:US
Mailing Address - Phone:660-562-3255
Mailing Address - Fax:660-562-4113
Practice Address - Street 1:1429 SOUTH MUNN AVENUE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:MO
Practice Address - Zip Code:64468-2756
Practice Address - Country:US
Practice Address - Phone:660-562-3255
Practice Address - Fax:660-562-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
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)