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NPI Code Detail

MEDICARE: CARL JUNCTION R-1 SCHOOL DISTRICT

MEDICARE: CARL JUNCTION R-1 SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1245427822
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARL JUNCTION R-1 SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 206 S RONEY ST
Second Line :
City : CARL JUNCTION
State : MO
Zip : 64834-9402
Country : US
Telephone Number : 417-649-7026
Fax Number : 417-649-5792
Provider Business Practice Location Address
First Line : 206 S RONEY ST
Second Line :
City : CARL JUNCTION
State : MO
Zip : 64834-9402
Country : US
Telephone Number : 417-649-7026
Fax Number : 417-649-5792
Authorized Official
Title or Position : SPECIAL SERVICES DIRECTOR
Name : TEENA FARE
Credential :
Telephone Number : 417-649-7526
Provider Enumeration Date : 09/27/2007
Last Update Date : 09/27/2007

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Directions to “CARL JUNCTION R-1 SCHOOL DISTRICT ” Practice Location

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