=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871610543
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUPERINTENDENT OF HOXIE CONSOLIDATED SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2007
-----------------------------------------------------
Last Update Date | 07/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 602 SW HARTIGAN ST
-----------------------------------------------------
City | HOXIE
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72433-1811
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-886-2401
-----------------------------------------------------
Fax | 870-886-4252
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 602 SW HARTIGAN ST
-----------------------------------------------------
City | HOXIE
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72433-1811
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-886-2401
-----------------------------------------------------
Fax | 870-886-4252
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LEA SUPERVISOR
-----------------------------------------------------
Name | MRS. COLLEEN LATIMER SEARS
-----------------------------------------------------
Credential | MCD, CCC-SLP
-----------------------------------------------------
Telephone | 870-886-4256
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------