Jefferson C-123 School
Organization Active NPI Local Education Agency (LEA) · Conception Junction, MO
NPI 1063565901 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1063565901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- License
- 506127802 (MO)
- Legal business name
- JEFFERSON C-123 SCHOOL
- Practice address
- 37614 US Highway 136
Conception Junction, MO 64434-8109 - Phone
- (660) 944-2316
- Fax
- (660) 944-2315
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert P. Dowis
- Title
- Superintendent
- Phone
- (660) 944-2316
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 506127802 | MO | Yes |
Addresses
Primary practice location
37614 US Highway 136
Conception Junction, MO 64434-8109
Mailing address
37614 US Highway 136
Conception Junction, MO 64434-8109
Phone (660) 944-2316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506127802 | Medicaid | MO |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. 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.