Healthcare Provider Details

I. General information

NPI: 1629903133
Provider Name (Legal Business Name): MARSHFIELD R-1 SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 STATE HIGHWAY DD
MARSHFIELD MO
65706-1513
US

IV. Provider business mailing address

170 STATE HIGHWAY DD
MARSHFIELD MO
65706-1513
US

V. Phone/Fax

Practice location:
  • Phone: 417-859-2120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERRY DAVIS
Title or Position: DIRECTOR OF SPECIAL PROGRAMS
Credential:
Phone: 417-859-2120