Organization Active NPI

Superintendent of Concord High School

  • Local Education Agency (LEA)
  • Concord, AR
National Provider Identifier
1912075433
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SUPERINTENDENT OF CONCORD HIGH SCHOOL
Practice address
10920 Heber Springs Rd N
Concord, AR 72523-0010
Phone
(870) 668-3844
Fax
(870) 668-3380
NPI assigned
Dec 1, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Perralee Simpson
Title
Bookkeeper
Phone
(870) 668-3844

Specialties & licenses 1

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

Addresses

Primary practice location

10920 Heber Springs Rd N
Concord, AR 72523-0010

Mailing address

PO Box 10
Concord, AR 72523-0010
Phone (870) 668-3844

Other identifiers 2

IdentifierTypeStateIssuer
148142742MedicaidAR
148452743MedicaidAR

National Provider Directory

National Provider Directory

Locations

10920 Heber Springs Rd N
Concord, AR 72523
Phone (501) 206-1583

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1912075433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "CONCORD",
            "state": "AR",
            "postal_code": "725230010",
            "telephone_number": "870-668-3844",
            "fax_number": "870-668-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 HEBER SPRINGS RD N",
            "city": "CONCORD",
            "state": "AR",
            "postal_code": "725230010",
            "telephone_number": "870-668-3844",
            "fax_number": "870-668-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF CONCORD HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "PERRALEE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "870-668-3844"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148142742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148452743",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.