Organization Active NPI

Cons School Dist R-3 of Salem

  • Local Education Agency (LEA)
  • Salem, MO
National Provider Identifier
1881734937
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CONS SCHOOL DIST R-3 OF SALEM
Practice address
27870 Highway C
Salem, MO 65560-8661
Phone
(573) 729-4680
Fax
(573) 729-8644
NPI assigned
Feb 7, 2007
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Mrs. Denise Polk
Title
District Coordinator
Phone
(573) 729-4680

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

27870 Highway C
Salem, MO 65560-8661

Mailing address

27870 Highway C
Salem, MO 65560-8661
Phone (573) 729-4680

Other identifiers 1

IdentifierTypeStateIssuer
506210301MedicaidMO

National Provider Directory

National Provider Directory

Locations

27870 Highway C
Salem, MO 65560
Phone (573) 729-4680

Practitioners & affiliated clinicians

Practitioners 1

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1881734937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27870 HIGHWAY C",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655608661",
            "telephone_number": "573-729-4680",
            "fax_number": "573-729-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27870 HIGHWAY C",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655608661",
            "telephone_number": "573-729-4680",
            "fax_number": "573-729-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONS SCHOOL DIST R-3 OF SALEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DISTRICT COORDINATOR",
        "authorized_official_telephone_number": "573-729-4680",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "506210301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.