Georgetown Ridge Farm 4
Organization Active NPI Local Education Agency (LEA) · Georgetown, IL
NPI 1114035722 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114035722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- GEORGETOWN RIDGE FARM 4
- Practice address
- 400 W West St
Georgetown, IL 61846-1846 - Phone
- (217) 662-8488
- Fax
- (217) 662-3402
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Kevin Tate
- Title
- Superintendent
- Phone
- (217) 662-8488
National Provider Directory
Locations
502 W Mulberry St
Georgetown, IL 61846
400 W West St
Georgetown, IL 61846
Phone (217) 662-8488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Yes |
Addresses
Primary practice location
400 W West St
Georgetown, IL 61846-1846
Mailing address
400 W West St
Georgetown, IL 61846-1846
Phone (217) 662-8488
Other providers in Georgetown, IL
- Family Practice Medical Center LTD
- Marcy Fegett
- Fusion of Wellness: Body, Mind, and Soul, LLC.
- Georgetown Fire Protection District Ambulance Service
- Laura E Melecosky-Zachman
- Kimberly Payne
- Sasha Pierce
- Isaiah Matthew Reeves
- Samantha Rieches
All providers in Georgetown, IL · Local Education Agency (LEA) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.