Provider Demographics
NPI:1427236512
Name:MARENGO SCHOOL DISTRICT 154
Entity type:Organization
Organization Name:MARENGO SCHOOL DISTRICT 154
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-568-6511
Mailing Address - Street 1:110 FRANKS RD
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:IL
Mailing Address - Zip Code:60152-3425
Mailing Address - Country:US
Mailing Address - Phone:815-568-6511
Mailing Address - Fax:815-568-6510
Practice Address - Street 1:110 FRANKS RD
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:IL
Practice Address - Zip Code:60152-3425
Practice Address - Country:US
Practice Address - Phone:815-568-6511
Practice Address - Fax:815-568-6510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)