Provider Demographics
NPI:1215066089
Name:MARSHFIELD R-1 SCHOOL
Entity type:Organization
Organization Name:MARSHFIELD R-1 SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WUTKE
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:417-859-2120
Mailing Address - Street 1:114 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65706-2104
Mailing Address - Country:US
Mailing Address - Phone:417-859-2120
Mailing Address - Fax:
Practice Address - Street 1:114 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-2104
Practice Address - Country:US
Practice Address - Phone:417-859-2120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)