Organization Active NPI

Superintendent of Mineral Springs High School

  • Local Education Agency (LEA)
  • Mineral Springs, AR
National Provider Identifier
1396898896
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SUPERINTENDENT OF MINERAL SPRINGS HIGH SCHOOL
Practice address
130 West Browning St
Mineral Springs, AR 71851-0189
Phone
(870) 287-4748
Fax
(870) 287-5301
NPI assigned
Jan 19, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Max A. Adcock
Title
Superintendent
Phone
(870) 287-4748

Specialties & licenses 1

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

Addresses

Primary practice location

130 West Browning St
Mineral Springs, AR 71851-0189

Mailing address

PO Box 189
Mineral Springs, AR 71851-0189
Phone (870) 287-4748

Other identifiers 3

IdentifierTypeStateIssuer
167859761MedicaidAR
123186742MedicaidAR
123187743MedicaidAR

Other names 1

  • Mineral Springs School District Other name

National Provider Directory

National Provider Directory

Locations

130 W Browning St
Mineral Springs, AR 71851
Phone (870) 287-4747

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1396898896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "MINERAL SPRINGS",
            "state": "AR",
            "postal_code": "718510189",
            "telephone_number": "870-287-4748",
            "fax_number": "870-287-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WEST BROWNING ST",
            "city": "MINERAL SPRINGS",
            "state": "AR",
            "postal_code": "718510189",
            "telephone_number": "870-287-4748",
            "fax_number": "870-287-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF MINERAL SPRINGS HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "870-287-4748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167859761",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123186742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123187743",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Springs School District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mineral Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.