Provider Demographics
NPI:1053437806
Name:SCHOOL DIST 2 MILAN
Entity type:Organization
Organization Name:SCHOOL DIST 2 MILAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-265-4414
Mailing Address - Street 1:373 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MO
Mailing Address - Zip Code:63556-1182
Mailing Address - Country:US
Mailing Address - Phone:660-265-4414
Mailing Address - Fax:660-265-4315
Practice Address - Street 1:373 S MARKET ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MO
Practice Address - Zip Code:63556-1182
Practice Address - Country:US
Practice Address - Phone:660-265-4414
Practice Address - Fax:660-265-4315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506077809Medicaid