Organization Active NPI

Melbourne School District

  • Local Education Agency (LEA)
  • Melbourne, AR
National Provider Identifier
1184756504
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
116975743MedicaidAR

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.