McDonald County R-1 Schools

Organization Active NPI Contractor · Anderson, MO

NPI 1437313236 · NPPES record last updated Jul 11, 2008

Key facts

NPI
1437313236
Entity type
Organization (NPI type 2)
Primary specialty
Contractor 171W00000X
Legal business name
MCDONALD COUNTY R-1 SCHOOLS
Practice address
100 Mustang Dr
Anderson, MO 64831-7305
Phone
(417) 845-3409
Fax
(417) 845-7053
NPI assigned
Jul 11, 2008
Organization subpart
No

Authorized official

Name
Ms. Lisa Darlene Cook
Title
Medicaid Coordinator
Phone
(417) 845-3409

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193200000X MULTI-SPECIALTY GROUP
171W00000X Yes

Addresses

Primary practice location

100 Mustang Dr
Anderson, MO 64831-7305

Mailing address

100 Mustang Dr
Anderson, MO 64831-7305
Phone (417) 845-3409

Other identifiers

IdentifierTypeStateIssuer
506163104MedicaidMO

Other providers in Anderson, MO

All providers in Anderson, MO · Contractor in Missouri

Sources for this page

Verify at the official NPI Registry.