Organization Active NPI

County of Montgomery School Dist

  • Local Education Agency (LEA)
  • Montgomery City, MO
National Provider Identifier
1700927456
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
COUNTY OF MONTGOMERY SCHOOL DIST
Practice address
418 N Highway 19
Montgomery City, MO 63361-5217
Phone
(573) 564-3710
Fax
(573) 564-6182
NPI assigned
Feb 8, 2007
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Lori Millam
Title
District Coordinator
Phone
(573) 564-3710

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

418 N Highway 19
Montgomery City, MO 63361-5217

Mailing address

418 N Highway 19
Montgomery City, MO 63361-5217
Phone (573) 564-3710

Other identifiers 1

IdentifierTypeStateIssuer
506078302MedicaidMO

National Provider Directory

National Provider Directory

Locations

418 N Highway 19
Montgomery City, MO 63361
Phone (573) 564-2278

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1700927456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N HIGHWAY 19",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633615217",
            "telephone_number": "573-564-3710",
            "fax_number": "573-564-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N HIGHWAY 19",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633615217",
            "telephone_number": "573-564-3710",
            "fax_number": "573-564-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTGOMERY SCHOOL DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MILLAM",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DISTRICT COORDINATOR",
        "authorized_official_telephone_number": "573-564-3710"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506078302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.