Provider Demographics
NPI:1154471829
Name:WEAUBLEAU R-III SCHOOL
Entity type:Organization
Organization Name:WEAUBLEAU R-III SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:4174-283-3317
Mailing Address - Street 1:509 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WEAUBLEAU
Mailing Address - State:MO
Mailing Address - Zip Code:65774-9729
Mailing Address - Country:US
Mailing Address - Phone:417-428-3668
Mailing Address - Fax:
Practice Address - Street 1:509 N CENTER ST
Practice Address - Street 2:
Practice Address - City:WEAUBLEAU
Practice Address - State:MO
Practice Address - Zip Code:65774-9729
Practice Address - Country:US
Practice Address - Phone:417-428-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)