Portageville School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PORTAGEVILLE SCHOOL DISTRICT

Practice address

904 King Ave
Portageville, MO 63873-1378

Phone

(573) 379-3855

Fax

(573) 379-5817

NPI assigned

Feb 14, 2007

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charlotte Marie Coleman

Title

Business Manager

Phone

(573) 379-3855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Samples

  • Speech-Language Pathologist
  • Portageville, MO
  • NPI 1902910300
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1093858714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 KING AVE",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731378",
            "telephone_number": "573-379-3855",
            "fax_number": "573-379-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 KING AVE",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731378",
            "telephone_number": "573-379-3855",
            "fax_number": "573-379-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGEVILLE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "573-379-3855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506127901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David W Morris
• N & R of Portageville, Inc. (Portageville Nursing Center)
• Pemiscot County Memorial Hospital (Portageville Primary Care Center)
• Portageville Health Care Center, L.L.C. (Portageville Health Care Center)
• Portageville Nursing and Rehabilitation, LLC
• Portageville SNF Opco LLC (Portageville Health Care Center)
• Dennis Reed, PA
• Remember Forever Day Treatment, LLC
• Donald D Rone III, PHARM D
• Mary Samples

• Local Education Agency (LEA) in Portageville, MO
• Providers in Portageville, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.