Superintendent of Lamar High School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SUPERINTENDENT OF LAMAR HIGH SCHOOL

Practice address

301 Elberta St
Lamar, AR 72846-8100

Phone

(479) 885-3907

Fax

(479) 885-2380

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly L Hardgrave

Title

Dist. Trea.

Phone

(479) 885-3907

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lamar School District Doing business as

Locations

Practitioners 2

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

• Dawn Rachelle Boswell

  • Licensed Practical Nurse
  • Lamar, AR
  • NPI 1689596090
  NPD (past)
• Trudy Christine Gatewood, PTA

  • Physical Therapy Assistant
  • Charleston, AR
  • NPI 1588944599
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1295878148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELBERTA ST",
            "city": "LAMAR",
            "state": "AR",
            "postal_code": "728468100",
            "telephone_number": "479-885-3907",
            "fax_number": "479-885-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ELBERTA ST",
            "city": "LAMAR",
            "state": "AR",
            "postal_code": "728468100",
            "telephone_number": "479-885-3907",
            "fax_number": "479-885-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF LAMAR HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "HARDGRAVE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIST. TREA.",
        "authorized_official_telephone_number": "479-885-3907",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117934743",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159539791",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamar School District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy O'Mary
• Orion Wound Care, Inc.
• Jeena Riddell
• River Valley Primary Care Services
• Shannon Rylee
• Tamara Warren
• Robert Washburn
• Logan White
• Thomas Williams

• All providers in Lamar, AR
• Local Education Agency (LEA) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.