MEDICARE: MARKED TREE SCHOOLS

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
1	163WS0200X	School Registered Nurse
2	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	:	1982739496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARKED TREE SCHOOLS

Provider Business Mailing Address
First Line	:	406 SAINT FRANCIS ST
Second Line	:
City	:	MARKED TREE
State	:	AR
Zip	:	72365-2241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 SAINT FRANCIS ST
Second Line	:
City	:	MARKED TREE
State	:	AR
Zip	:	72365-2241
Country	:	US
Telephone Number	:	870-358-2212
Fax Number	:

Authorized Official
Title or Position	:	SPECIAL EDUCATION SUPERVISOR
Name	:	JENNIFER HALL
Credential	:
Telephone Number	:	870-358-2913

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	01/23/2020

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Directions to “MARKED TREE SCHOOLS ” Practice Location

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