MEDICARE: SCHOOL DIST R6 PIERCE CITY

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	:	1851433767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHOOL DIST R6 PIERCE CITY

Provider Business Mailing Address
First Line	:	PO BOX E
Second Line	:	300 MYRTLE ST
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-0305
Country	:	US
Telephone Number	:	417-476-2255
Fax Number	:	417-476-5213

Provider Business Practice Location Address
First Line	:	300 N MYRTLE ST
Second Line	:
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-1124
Country	:	US
Telephone Number	:	417-476-2255
Fax Number	:	417-476-5213

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. RUSS WAYNE MORELAND
Credential	:
Telephone Number	:	417-476-2555

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	03/03/2009

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Directions to “SCHOOL DIST R6 PIERCE CITY ” Practice Location

Language	Start Address	Practice Location

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