Healthcare Provider Details

I. General information

NPI: 1598810384
Provider Name (Legal Business Name): BAY SCHOOL DISTRICT 21
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SCHOOL STREET
BAY AR
72411
US

IV. Provider business mailing address

PO BOX 39
BAY AR
72411-0039
US

V. Phone/Fax

Practice location:
  • Phone: 870-781-3711
  • Fax: 870-781-3712
Mailing address:
  • Phone: 870-781-3711
  • Fax: 870-781-3712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: CHIP LAYNE
Title or Position: SUPERINTENDENT
Credential:
Phone: 870-781-3296