School of the Osage R-II

Organization Active NPI Student in an Organized Health Care Education/Training Program · Lake Ozark, MO

NPI 1083786586 · NPPES record last updated Aug 1, 2008

Key facts

NPI
1083786586
Entity type
Organization (NPI type 2)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
503777302 (MO)
Legal business name
SCHOOL OF THE OSAGE R-II
Practice address
1501 School Road
Lake Ozark, MO 65049-1960
Phone
(573) 365-4091
Fax
(573) 365-5748
NPI assigned
Nov 14, 2006
Organization subpart
No

Authorized official

Name
Dr. Mary Ann Johnson
Title
Superintendent
Phone
(573) 365-4091

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
School of the Osage R-II (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
390200000X 503777302 MO Yes

Addresses

Primary practice location

1501 School Road
Lake Ozark, MO 65049-1960

Mailing address

PO Box 1960
Lake Ozark, MO 65049-1960
Phone (573) 365-4091

Other identifiers

IdentifierTypeStateIssuer
483777306MedicaidMO
463777300MedicaidMO
473777308MedicaidMO

Other providers in Lake Ozark, MO

All providers in Lake Ozark, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.