Blackwater School Dist R 2

LBN: Blackwater School Dist R 2
Blackwater School Dist R 2 is an health care organization with primary practice located at 300 Doodridge , Blackwater MO 65322-0117. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Local Education Agency (LEA). Agencies / Local Education Agency (LEA) is the primary health care specialty. Blackwater School Dist R 2 can be contacted via phone (660) 846-2461, or through Brown, Tanya via phone (660) 846-2461.

Contact Information

Primary practice address
300 Doodridge Blackwater MO 65322-0117
Phone: (660) 846-2461
Fax: (660) 846-2431
Website:
Map and Directions
Authorized official contact:
Name: Brown, Tanya
Phone: (660) 846-2461

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1063639060
LBN Legal business name Blackwater School Dist R 2
DBA Doing business as
Authorized official Brown, Tanya
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Jun 13th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063639060 NPPES
Missouri MEDICAID 506261601

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