Organization Active NPI

Superintendent of Blytheville School District No 5

  • Local Education Agency (LEA)
  • Blytheville, AR
National Provider Identifier
1285784991
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SUPERINTENDENT OF BLYTHEVILLE SCHOOL DISTRICT NO 5
Practice address
405 Park St
Blytheville, AR 72315-2421
Phone
(870) 762-2053
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Jean Cole
Title
Lea Supervisor
Phone
(870) 762-2053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

405 Park St
Blytheville, AR 72315-2421

Mailing address

PO Box 1169
Blytheville, AR 72316-1169
Phone (870) 762-2053

Other identifiers 1

IdentifierTypeStateIssuer
116923743MedicaidAR

National Provider Directory

National Provider Directory

Locations

405 Park St
Blytheville, AR 72315
Phone (870) 762-2053

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1285784991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1169",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723161169",
            "telephone_number": "870-762-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PARK ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152421",
            "telephone_number": "870-762-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF BLYTHEVILLE SCHOOL DISTRICT NO 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "LEA SUPERVISOR",
        "authorized_official_telephone_number": "870-762-2053"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116923743",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.