Organization Active NPI

Glen Rose School District

  • Local Education Agency (LEA)
  • Malvern, AR
National Provider Identifier
1831240530
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GLEN ROSE SCHOOL DISTRICT
Practice address
14334 Highway 67
Malvern, AR 72104-7328
Phone
(501) 332-7521
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Nathan Gills
Title
Superintendent
Phone
(501) 332-6764

Specialties & licenses 1

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

Addresses

Primary practice location

14334 Highway 67
Malvern, AR 72104-7328

Mailing address

14334 Highway 67
Malvern, AR 72104-7328
Phone (501) 332-6764

Other identifiers 3

IdentifierTypeStateIssuer
155971732MedicaidAR
163429761MedicaidAR
117173743MedicaidAR

National Provider Directory

National Provider Directory

Locations

14334 Highway 67
Malvern, AR 72104
Phone (501) 332-3694

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1831240530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14334 HIGHWAY 67",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721047328",
            "telephone_number": "501-332-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14334 HIGHWAY 67",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721047328",
            "telephone_number": "501-332-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ROSE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GILLS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "501-332-6764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155971732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163429761",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117173743",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.