Organization Active NPI

Lebanon R-3 Schools

  • Local Education Agency (LEA)
  • Lebanon, MO
National Provider Identifier
1750449823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LEBANON R-3 SCHOOLS
Practice address
321 S Jefferson Ave
Lebanon, MO 65536-3260
Phone
(417) 532-9141
Fax
(417) 532-9492
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Duane Widhalm
Title
Superintendent
Phone
(417) 532-9141

Specialties & licenses 1

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

Addresses

Primary practice location

321 S Jefferson Ave
Lebanon, MO 65536-3260

Mailing address

321 S Jefferson Ave
Lebanon, MO 65536-3260
Phone (417) 532-9141

National Provider Directory

National Provider Directory

Locations

321 S Jefferson Ave
Lebanon, MO 65536
Phone (417) 532-9141

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750449823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363260",
            "telephone_number": "417-532-9141",
            "fax_number": "417-532-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363260",
            "telephone_number": "417-532-9141",
            "fax_number": "417-532-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON R-3 SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIDHALM",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "417-532-9141",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.