McDonald County R-1 Schools

Primary specialty

ContractorTaxonomy code 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

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Darlene Cook

Title

Medicaid Coordinator

Phone

(417) 845-3409

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1437313236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MUSTANG DR",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648317305",
            "telephone_number": "417-845-3409",
            "fax_number": "417-845-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MUSTANG DR",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648317305",
            "telephone_number": "417-845-3409",
            "fax_number": "417-845-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD COUNTY R-1 SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "417-845-3409",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Jansen, M.D.
• Heather Renee Mackey, R.D.H.
• Viola Marie Martin
• Heather Maze
• Leland McCall, DDS
• Amanda D McKarus, PT
• Megan Morris
• Mustang Drug Inc (Mustang Drug)
• N & R of Anderson LLC (McDonald County Living Center)
• Brenna Jean Neumann, PHARM.D.

• Contractor in Anderson, MO
• Providers in Anderson, MO by specialty
• Contractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.