Provider Demographics
NPI:1861684110
Name:CLARKDALE-JEROME ELEMENTARY SCHOOL DISTRICT #3
Entity type:Organization
Organization Name:CLARKDALE-JEROME ELEMENTARY SCHOOL DISTRICT #3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEENOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-634-5035
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:CLARKDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:86324-0248
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1615 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARKDALE
Practice Address - State:AZ
Practice Address - Zip Code:86324
Practice Address - Country:US
Practice Address - Phone:928-634-5035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)