Organization Active NPI

Holliday C-2 School Dist

  • Local Education Agency (LEA)
  • Holliday, MO
National Provider Identifier
1710028386
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
HOLLIDAY C-2 SCHOOL DIST
Practice address
201 Curtwright St
Holliday, MO 65258
Phone
(660) 266-3412
Fax
(660) 266-3029
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
Lisa Mae Borden
Title
Superintendent
Phone
(660) 266-3412

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

201 Curtwright St
Holliday, MO 65258

Mailing address

PO Box 7038
201 Curtwright St
Holliday, MO 65258-7038
Phone (660) 266-3412

Other identifiers 1

IdentifierTypeStateIssuer
506077007MedicaidMO

National Provider Directory

National Provider Directory

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": "1710028386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7038",
            "address_2": "201 CURTWRIGHT ST",
            "city": "HOLLIDAY",
            "state": "MO",
            "postal_code": "652587038",
            "telephone_number": "660-266-3412",
            "fax_number": "660-266-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CURTWRIGHT ST",
            "city": "HOLLIDAY",
            "state": "MO",
            "postal_code": "65258",
            "telephone_number": "660-266-3412",
            "fax_number": "660-266-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAY C-2 SCHOOL DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "660-266-3412"
    },
    "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": "506077007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.