Healthcare Provider Details

I. General information

NPI: 1891913588
Provider Name (Legal Business Name): JOHNSON COUNTY R-7 SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 NW STATE ROUTE 58
CENTERVIEW MO
64019-9235
US

IV. Provider business mailing address

92 NW STATE ROUTE 58
CENTERVIEW MO
64019-9235
US

V. Phone/Fax

Practice location:
  • Phone: 660-656-3391
  • Fax: 660-656-3633
Mailing address:
  • Phone: 660-656-3391
  • Fax: 660-656-3633

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: DR. CRAIG D. EATON
Title or Position: SUPERINTENDENT
Credential: ED.D.
Phone: 660-656-3391