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NPI Code Detail

MEDICARE: JEFFERSON CITY PUBLIC SCHOOLS

MEDICARE: JEFFERSON CITY 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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1801019906
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON CITY PUBLIC SCHOOLS
Provider Business Mailing Address
First Line : 315 E DUNKLIN ST
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65101-3128
Country : US
Telephone Number : 573-659-3000
Fax Number : 573-632-3475
Provider Business Practice Location Address
First Line : 315 E DUNKLIN ST
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65101-3128
Country : US
Telephone Number : 573-659-3000
Fax Number : 573-632-3475
Authorized Official
Title or Position : SUPERINTENDENT
Name : MR. BERT KIMBAL
Credential :
Telephone Number : 573-659-3000
Provider Enumeration Date : 04/10/2007
Last Update Date : 08/22/2020

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Directions to “JEFFERSON CITY PUBLIC SCHOOLS ” Practice Location

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