Active NPI
Melbourne School District
- Local Education Agency (LEA)
- Melbourne, AR
National Provider Identifier
1184756504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- MELBOURNE SCHOOL DISTRICT
- Practice address
- 303 School Drive
Melbourne, AR 72556 - Phone
- (870) 368-4500
- Fax
- (870) 368-7070
- NPI assigned
- Mar 12, 2007
- Last updated
- Apr 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald Wayne Cooper
- Title
- Superintendent
- Phone
- (870) 368-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
303 School Drive
Melbourne, AR 72556
Mailing address
PO Box 250
Melbourne, AR 72556-0250
Phone (870) 368-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116975743 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302739200000",
"number": "1184756504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "725560250",
"telephone_number": "870-368-4500",
"fax_number": "870-368-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SCHOOL DRIVE",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "72556",
"telephone_number": "870-368-4500",
"fax_number": "870-368-7070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELBOURNE SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2011-04-14",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "870-368-7070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116975743",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.