Provider Demographics
NPI:1457575565
Name:MT VERNON COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MT VERNON COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-895-8845
Mailing Address - Street 1:525 PALISADES RD SW
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IA
Mailing Address - Zip Code:52314-1761
Mailing Address - Country:US
Mailing Address - Phone:319-895-8845
Mailing Address - Fax:319-895-8875
Practice Address - Street 1:525 PALISADES RD SW
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314-1761
Practice Address - Country:US
Practice Address - Phone:319-895-8845
Practice Address - Fax:319-895-8875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA089750251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)