MEDICARE: NASHVILLE 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)		AR

General Provider Information

NPI Number	:	1780736538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NASHVILLE SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	600 N 4TH ST
Second Line	:
City	:	NASHVILLE
State	:	AR
Zip	:	71852-3911
Country	:	US
Telephone Number	:	870-845-3425
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N 4TH ST
Second Line	:
City	:	NASHVILLE
State	:	AR
Zip	:	71852-3911
Country	:	US
Telephone Number	:	870-845-3425
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. DOUGLAS GRAHAM
Credential	:
Telephone Number	:	870-845-3425

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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Directions to “NASHVILLE SCHOOL DISTRICT ” Practice Location

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