Provider Demographics
NPI:1902933054
Name:MEADVILLE R-IV
Entity Type:Organization
Organization Name:MEADVILLE R-IV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-938-4111
Mailing Address - Street 1:101 W CRANDALL ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64659-8449
Mailing Address - Country:US
Mailing Address - Phone:660-938-4111
Mailing Address - Fax:660-938-4100
Practice Address - Street 1:101 W CRANDALL ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:MO
Practice Address - Zip Code:64659-8449
Practice Address - Country:US
Practice Address - Phone:660-938-4111
Practice Address - Fax:660-938-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)