Provider Demographics
NPI:1023132834
Name:MONROE CITY SCHOOLS
Entity type:Organization
Organization Name:MONROE CITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR STUDENT SUPPORT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-388-3747
Mailing Address - Street 1:PO BOX 4180
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71211-4180
Mailing Address - Country:US
Mailing Address - Phone:318-388-3747
Mailing Address - Fax:318-387-2090
Practice Address - Street 1:4600 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-6002
Practice Address - Country:US
Practice Address - Phone:318-388-3747
Practice Address - Fax:318-387-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1415 464Medicaid