Superintendent of Mammoth Spring School District
Organization Active NPI Local Education Agency (LEA) · Mammoth Spring, AR
NPI 1700051182 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1700051182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- SUPERINTENDENT OF MAMMOTH SPRING SCHOOL DISTRICT
- Practice address
- 410 Goldsmith Ave
Mammoth Spring, AR 72554-8045 - Phone
- (870) 625-3096
- Fax
- (870) 625-3609
- NPI assigned
- Apr 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Anita B Humphreys
- Title
- Special Services Coordinator
- Phone
- (870) 625-3096
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Mammoth Spring School District
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Yes |
Addresses
Primary practice location
410 Goldsmith Ave
Mammoth Spring, AR 72554-8045
Mailing address
PO Box 370
Mammoth Spring, AR 72554-0370
Phone (870) 625-3096
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166891761 | Medicaid | AR | |
| 166913732 | Medicaid | AR | |
| 140932742 | Medicaid | AR |
Other providers in Mammoth Spring, AR
- Haley A Skaggs
- Chancey Joelle Smith
- Frances M Smith
- Spring River Chiropractic
- Superintendent of Mammoth Spring School District
- Kayla Todd
- Transforming Lives Counseling LLC
- Logan Underwood
- V & K PRN, Inc
- Tamra P Ward
All providers in Mammoth Spring, 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 24, 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.