Provider Demographics
NPI:1669923231
Name:DADEVILLE R-II SCHOOL DISTRICT
Entity type:Organization
Organization Name:DADEVILLE R-II SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-995-2201
Mailing Address - Street 1:17 BEARCAT TRL
Mailing Address - Street 2:PO BOX 188
Mailing Address - City:DADEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65635-8196
Mailing Address - Country:US
Mailing Address - Phone:417-995-2201
Mailing Address - Fax:417-995-2110
Practice Address - Street 1:17 BEARCAT TRL
Practice Address - Street 2:
Practice Address - City:DADEVILLE
Practice Address - State:MO
Practice Address - Zip Code:65635-8196
Practice Address - Country:US
Practice Address - Phone:417-995-2201
Practice Address - Fax:417-995-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)