Organization Active NPI

Two Rivers School District H

  • Skilled Nursing Facility
  • Ola, AR
National Provider Identifier
1144511635
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
R41981 Issued in WY
Legal business name
TWO RIVERS SCHOOL DISTRICT H
Practice address
17727 E State Highway 28
Ola, AR 72853-9382
Phone
(479) 272-3113
Fax
(479) 272-3115
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Sherry Holliman
Title
Superintendent
Phone
(479) 272-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X R41981 WY Primary

Addresses

Primary practice location

17727 E State Highway 28
Ola, AR 72853-9382

Mailing address

17727 E State Highway 28
Ola, AR 72853-9382
Phone (479) 272-3113

Other identifiers 1

IdentifierTypeStateIssuer
184041761MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Two Rivers School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

17727 E State Highway 28
Ola, AR 72853
Phone (479) 272-3113

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1144511635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17727 E STATE HIGHWAY 28",
            "city": "OLA",
            "state": "AR",
            "postal_code": "728539382",
            "telephone_number": "479-272-3113",
            "fax_number": "479-272-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17727 E STATE HIGHWAY 28",
            "city": "OLA",
            "state": "AR",
            "postal_code": "728539382",
            "telephone_number": "479-272-3113",
            "fax_number": "479-272-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS SCHOOL DISTRICT H",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "HOLLIMAN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "479-272-3113"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WY",
            "license": "R41981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184041761",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.