Superintendent of de Queen High School

Key facts

NPI: 1497968044
Entity type: Organization (NPI type 2)
Primary specialty: Local Education Agency (LEA) 251300000X
Legal business name: SUPERINTENDENT OF DE QUEEN HIGH SCHOOL
Practice address: 101 N 9TH St
De Queen, AR 71832
Phone: (870) 584-4312
Fax: (870) 642-8881
NPI assigned: May 8, 2007
Organization subpart: No

Authorized official

Name: Mr. Billy Bob Blackwood
Title: Superintendent
Phone: (870) 584-4312

Practitioners 3

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

Maddison Grace Marshall Speech-Language Pathologist · De Queen, AR · NPI 1437724630

NPD (past)
Pamela Rene O'Neal II Case Manager/Care Coordinator · De Queen, AR · NPI 1215137922

NPD (past)
Allison Grace Strasner, COTA/L Occupational Therapy Assistant · De Queen, AR · NPI 1891672572

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Local Education Agency (LEA)	251300000X			Yes

Addresses

Primary practice location

101 N 9TH St
De Queen, AR 71832

Mailing address

PO Box 950
De Queen, AR 71832-0950
Phone (870) 584-4312

Other identifiers

Identifier	Type	State	Issuer
124780742	Medicaid	AR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2008.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1497968044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718320950",
            "telephone_number": "870-584-4312",
            "fax_number": "870-642-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 9TH ST",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "71832",
            "telephone_number": "870-584-4312",
            "fax_number": "870-642-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF DE QUEEN HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "BOB",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "870-584-4312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124780742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

All providers in De Queen, AR · Local Education Agency (LEA) in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.