Fayette R-III

Organization Active NPI Local Education Agency (LEA) · Fayette, MO

NPI 1093939696 · NPPES record last updated Jun 13, 2016

Key facts

NPI
1093939696
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
FAYETTE R-III
Practice address
705 Lucky St
Fayette, MO 65248-1140
Phone
(660) 248-2153
Fax
(660) 248-3702
NPI assigned
Apr 13, 2007
Organization subpart
No

Authorized official

Name
Terri Fletcher
Title
District Coordinator
Phone
(660) 248-2153

Practitioners 2

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

National Provider Directory

Locations

705 Lucky St
Fayette, MO 65248
Phone (660) 248-3800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X
Local Education Agency (LEA) 251300000X Yes

Addresses

Primary practice location

705 Lucky St
Fayette, MO 65248-1140

Mailing address

705 Lucky St
Fayette, MO 65248-1140
Phone (660) 248-2153

Other identifiers

IdentifierTypeStateIssuer
506076009MedicaidMO

Other providers in Fayette, MO

All providers in Fayette, MO · Local Education Agency (LEA) in Missouri

Sources for this page

Verify at the official NPI Registry.