MEDICARE: BAUXITE PUBLIC SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1023161387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAUXITE PUBLIC SCHOOLS

Provider Business Mailing Address
First Line	:	800 SCHOOL ST
Second Line	:
City	:	BAUXITE
State	:	AR
Zip	:	72011-9143
Country	:	US
Telephone Number	:	501-557-5453
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SCHOOL ST
Second Line	:
City	:	BAUXITE
State	:	AR
Zip	:	72011-9143
Country	:	US
Telephone Number	:	501-557-5453
Fax Number	:

Authorized Official
Title or Position	:	SPECIAL EDUCATION SUPERVISOE
Name	:	REBECCA AUSTIN
Credential	:	DR.
Telephone Number	:	501-778-2107

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	08/22/2020

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Directions to “BAUXITE PUBLIC SCHOOLS ” Practice Location

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