Healthcare Provider Details

I. General information

NPI: 1003967167
Provider Name (Legal Business Name): FOUKE SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 EAST MILTON
FOUKE AR
71837
US

IV. Provider business mailing address

PO BOX 20
FOUKE AR
71837-0020
US

V. Phone/Fax

Practice location:
  • Phone: 870-653-7875
  • Fax: 870-653-7878
Mailing address:
  • Phone: 870-653-4311
  • 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: CARMAN JO CROSS
Title or Position: DIRECTOR OF FEDERAL PROGRAMS
Credential:
Phone: 870-653-7864