MEDICARE: NORTH CALLAWAY R-1 SCHOOL DISTRICT

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740353671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH CALLAWAY R-1 SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	2690 THUNDERBIRD DRIVE
Second Line	:
City	:	KINGDOM CITY
State	:	MO
Zip	:	65262-1816
Country	:	US
Telephone Number	:	573-386-2214
Fax Number	:	573-386-2169

Provider Business Practice Location Address
First Line	:	2690 US HIGHWAY 54
Second Line	:
City	:	KINGDOM CITY
State	:	MO
Zip	:	65262-0033
Country	:	US
Telephone Number	:	573-386-2214
Fax Number	:	573-386-2169

Authorized Official
Title or Position	:	SPECIAL SERVICES DIRECTOR
Name	:	SARAH BAUMGARTNER
Credential	:
Telephone Number	:	573-386-2214

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	07/31/2015

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Directions to “NORTH CALLAWAY R-1 SCHOOL DISTRICT ” Practice Location

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