Healthcare Provider Details
I. General information
NPI: 1851426498
Provider Name (Legal Business Name): MIDLAND SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
741 MAIN STREET
PLEASANT PLAINS AR
72568-0630
US
IV. Provider business mailing address
741 MAIN STREET
PLEASANT PLAINS AR
72568-0630
US
V. Phone/Fax
- Phone: 501-345-2852
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251300000X |
| Taxonomy | Local Education Agency (LEA) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
ALLGOOD
Title or Position: DISTRICT TREASURER
Credential:
Phone: 501-345-2852