Organization · Type 2 NPI

Jefferson C-123 School

Local Education Agency (LEA) · Conception Junction, MO

NPI number 1063565901 Active

Practice location

37614 US Highway 136
Conception Junction, MO 64434-8109

Fax (660) 944-2315

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) Primary 251300000X506127802 (MO)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

About NPI 1063565901

Jefferson C-123 School's National Provider Identifier is 1063565901, issued on Jan 22, 2007. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Conception Junction, MO. The record was last updated on May 8, 2008.