Organization Active NPI

Mansfield Public Schools

  • Local Education Agency (LEA)
  • Mansfield, AR
National Provider Identifier
1417089657
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MANSFIELD PUBLIC SCHOOLS
Practice address
402 Grove St
Mansfield, AR 72944-3422
Phone
(479) 928-4006
Fax
(479) 928-4482
NPI assigned
Mar 12, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Jim Hattabaugh
Title
Superintendent
Phone
(479) 928-4006

Specialties & licenses 1

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

Addresses

Primary practice location

402 Grove St
Mansfield, AR 72944-3422

Mailing address

402 Grove St
Mansfield, AR 72944-3422

Other identifiers 2

IdentifierTypeStateIssuer
128540721MedicaidAR
149608721MedicaidAR

National Provider Directory

National Provider Directory

Locations

402 Grove St
Mansfield, AR 72944
Phone (479) 928-4006

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": "1213574400000",
    "number": "1417089657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GROVE ST",
            "city": "MANSFIELD",
            "state": "AR",
            "postal_code": "729443422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GROVE ST",
            "city": "MANSFIELD",
            "state": "AR",
            "postal_code": "729443422",
            "telephone_number": "479-928-4006",
            "fax_number": "479-928-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HATTABAUGH",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "479-928-4006"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128540721",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149608721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.