Provider Demographics
NPI:1174601439
Name:MARQUETTE-ALGER REGIONAL EDUCATIONAL SERVICE AGENCY
Entity type:Organization
Organization Name:MARQUETTE-ALGER REGIONAL EDUCATIONAL SERVICE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-226-5102
Mailing Address - Street 1:321 E OHIO ST
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-3847
Mailing Address - Country:US
Mailing Address - Phone:906-226-5100
Mailing Address - Fax:906-226-5134
Practice Address - Street 1:321 E OHIO ST
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-3847
Practice Address - Country:US
Practice Address - Phone:906-226-5100
Practice Address - Fax:906-226-5134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3032840Medicaid