Healthcare Provider Details

I. General information

NPI: 1922326677
Provider Name (Legal Business Name): ASH GROVE R-IV SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 05/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N MAPLE LANE
ASH GROVE MO
65604-9113
US

IV. Provider business mailing address

100 N MAPLE LANE
ASH GROVE MO
65604-9113
US

V. Phone/Fax

Practice location:
  • Phone: 417-751-2534
  • Fax: 417-751-2283
Mailing address:
  • Phone: 417-751-2534
  • Fax: 417-751-2283

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: PAM FLOYD
Title or Position: DIR OF SPECIAL EDUCATION/FED PROG
Credential:
Phone: 417-751-9620