Provider Demographics
NPI:1477692911
Name:MILLSTADT CCSD 160
Entity type:Organization
Organization Name:MILLSTADT CCSD 160
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-476-1681
Mailing Address - Street 1:211 W MILL ST
Mailing Address - Street 2:
Mailing Address - City:MILLSTADT
Mailing Address - State:IL
Mailing Address - Zip Code:62260-1147
Mailing Address - Country:US
Mailing Address - Phone:618-476-1681
Mailing Address - Fax:618-476-3150
Practice Address - Street 1:211 W MILL ST
Practice Address - Street 2:
Practice Address - City:MILLSTADT
Practice Address - State:IL
Practice Address - Zip Code:62260-1147
Practice Address - Country:US
Practice Address - Phone:618-476-1681
Practice Address - Fax:618-476-3150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
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