Healthcare Provider Details

I. General information

NPI: 1427101450
Provider Name (Legal Business Name): SUPT OF VAN COVE CONSOLIDATED SCHOOL DIST 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S 5TH ST
COVE AR
71937-9476
US

IV. Provider business mailing address

110 S 5TH ST
COVE AR
71937-9476
US

V. Phone/Fax

Practice location:
  • Phone: 870-387-2744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MR. ANDREW CURRY
Title or Position: SUPERINTENDENT
Credential:
Phone: 870-387-6832