MEDICARE: SCHOOL DIST MT VERNON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033250790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHOOL DIST MT VERNON

Provider Business Mailing Address
First Line	:	731 S LANDRUM ST
Second Line	:
City	:	MOUNT VERNON
State	:	MO
Zip	:	65712-1723
Country	:	US
Telephone Number	:	417-466-7573
Fax Number	:	417-466-7058

Provider Business Practice Location Address
First Line	:	731 S LANDRUM ST
Second Line	:
City	:	MOUNT VERNON
State	:	MO
Zip	:	65712-1723
Country	:	US
Telephone Number	:	417-466-7573
Fax Number	:	417-466-7058

Authorized Official
Title or Position	:	STUDENT SERVICES SECRETARY
Name	:	LISA BARNES
Credential	:
Telephone Number	:	417-446-7573

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	06/14/2016

Similar Medicare Providers

1467578484 — APRIL R SWANSON
Practice Location Address:

SCHOOL DIST MT VERNON , 731 S LANDRUM ST
MOUNT VERNON, MO
65712-1723

Practice Phone: 417-466-7573
Practice Fax: 417-461-5794

1043437064 — MARTHA JEAN ROSSE PT
Practice Location Address:

MT VERNON SCHOOL DISTRICT , 731 S LANDRUM ST
MOUNT VERNON, MO
65712-1723

Practice Phone: 417-466-7573
Practice Fax: 417-461-5794

1710240494 — SHAWN W MACKLIN
Practice Location Address:

731 S LANDRUM ST , SPECIAL SERVICES -- CLAIM CARE
MOUNT VERNON, MO
65712-1723

Practice Phone: 417-466-7573
Practice Fax:

1972799146 — CLEVELAND PSYCHIATRIC CENTER, PC
Practice Location Address:

1723 MOUNT VERNON DR NW
CLEVELAND, TN
37311-3539

Practice Phone: 423-473-2633
Practice Fax: 423-473-2643

1962061473 — GEORGE K MCBRIDE PMHNP-BC
Practice Location Address:

1723 MOUNT VERNON DR NW
CLEVELAND, TN
37311-3539

Practice Phone: 423-473-2633
Practice Fax:

1598324006 — JULIE NICOLE MCBRIDE PMHNP-BC
Practice Location Address:

1723 MOUNT VERNON DR NW
CLEVELAND, TN
37311-3539

Practice Phone: 423-473-2633
Practice Fax:

Directions to “SCHOOL DIST MT VERNON ” Practice Location

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