Organization Active NPI

Advance R-IV Public Schools

  • Local Education Agency (LEA)
  • Advance, MO
National Provider Identifier
1063553402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ADVANCE R-IV PUBLIC SCHOOLS
Practice address
19805 State Hwy C
Advance, MO 63730
Phone
(573) 722-3581
Fax
(573) 722-9886
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Redman
Title
Superintendent of Schools
Phone
(573) 722-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X MO Primary

Addresses

Primary practice location

19805 State Hwy C
Advance, MO 63730

Mailing address

PO Box 370
Advance, MO 63730-0370
Phone (573) 722-3581

Other names 1

  • School District 4 Reorganized Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063553402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637300370",
            "telephone_number": "573-722-3581",
            "fax_number": "573-722-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19805 STATE HWY C",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "63730",
            "telephone_number": "573-722-3581",
            "fax_number": "573-722-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE R-IV PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "573-722-3581"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School District 4 Reorganized",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Advance, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.