Provider Demographics
NPI:1437286572
Name:GREEN CITY R-I SCHOOLS
Entity type:Organization
Organization Name:GREEN CITY R-I SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-874-4128
Mailing Address - Street 1:301 NORTHEAST ST
Mailing Address - Street 2:
Mailing Address - City:GREEN CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63545-1005
Mailing Address - Country:US
Mailing Address - Phone:660-874-4127
Mailing Address - Fax:660-874-5010
Practice Address - Street 1:301 NORTHEAST ST
Practice Address - Street 2:
Practice Address - City:GREEN CITY
Practice Address - State:MO
Practice Address - Zip Code:63545-1005
Practice Address - Country:US
Practice Address - Phone:660-874-4127
Practice Address - Fax:660-874-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO504451006Medicaid