Provider Demographics
NPI:1962730580
Name:MANHATTAN SCHOOL DISTRICT 114
Entity type:Organization
Organization Name:MANHATTAN SCHOOL DISTRICT 114
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-478-0191
Mailing Address - Street 1:25440 S GOUGAR RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-9511
Mailing Address - Country:US
Mailing Address - Phone:815-478-0191
Mailing Address - Fax:815-478-7660
Practice Address - Street 1:25440 S GOUGAR RD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-9511
Practice Address - Country:US
Practice Address - Phone:815-478-0191
Practice Address - Fax:815-478-7660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL25130000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========6045102Medicaid