Provider Demographics
NPI:1912131533
Name:TINA-AVALON R-II SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TINA-AVALON R-II SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-622-4211
Mailing Address - Street 1:11896 HIGHWAY 65
Mailing Address - Street 2:
Mailing Address - City:TINA
Mailing Address - State:MO
Mailing Address - Zip Code:64682-7124
Mailing Address - Country:US
Mailing Address - Phone:660-622-4211
Mailing Address - Fax:
Practice Address - Street 1:11896 HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:TINA
Practice Address - State:MO
Practice Address - Zip Code:64682-7124
Practice Address - Country:US
Practice Address - Phone:660-622-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)