Organization Active NPI

Glenwood R-VIII School District

  • Local Education Agency (LEA)
  • West Plains, MO
National Provider Identifier
1740431808
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
046135 Issued in MO
Legal business name
GLENWOOD R-VIII SCHOOL DISTRICT
Practice address
10286 State Route 17
West Plains, MO 65775-5711
Phone
(417) 256-4849
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. R A Pendergrass
Title
Superintendent
Phone
(417) 256-4849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 046135 MO Primary

Addresses

Primary practice location

10286 State Route 17
West Plains, MO 65775-5711

Mailing address

10286 State Route 17
West Plains, MO 65775-5711
Phone (417) 256-4849

Other identifiers 1

IdentifierTypeStateIssuer
506116706MedicaidMO

National Provider Directory

National Provider Directory

Locations

10286 State Route 17
West Plains, MO 65775
Phone (417) 256-4849

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1740431808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10286 STATE ROUTE 17",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657755711",
            "telephone_number": "417-256-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10286 STATE ROUTE 17",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657755711",
            "telephone_number": "417-256-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD R-VIII SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "PENDERGRASS",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "417-256-4849",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MO",
            "license": "046135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506116706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.