Provider Demographics
NPI:1366582199
Name:SHELBY COUNTY R-IV SCHOOLS
Entity type:Organization
Organization Name:SHELBY COUNTY R-IV SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HADFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-588-4961
Mailing Address - Street 1:4154 HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:SHELBINA
Mailing Address - State:MO
Mailing Address - Zip Code:63468-4005
Mailing Address - Country:US
Mailing Address - Phone:573-588-4961
Mailing Address - Fax:573-588-2490
Practice Address - Street 1:4154 HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:SHELBINA
Practice Address - State:MO
Practice Address - Zip Code:63468-4005
Practice Address - Country:US
Practice Address - Phone:573-588-4961
Practice Address - Fax:573-588-2490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)