Fredericktown R-I School Dist

LBN: Fredericktown R-I School Dist
Fredericktown R-I School Dist is an health care organization with primary practice located at 704 E Highway 72 , Fredericktown MO 63645-7491. 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. Fredericktown R-I School Dist can be contacted via phone (573) 783-2570, or through Burlison, Kelly A via phone (573) 783-2570.

Contact Information

Primary practice address
704 E Highway 72 Fredericktown MO 63645-7491
Phone: (573) 783-2570
Fax: (573) 783-7045
Website:
Map and Directions
Authorized official contact:
Name: Burlison, Kelly A
Phone: (573) 783-2570

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 1356481295
LBN Legal business name Fredericktown R-I School Dist
DBA Doing business as
Authorized official Burlison, Kelly A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 9th, 2009 - about 17 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 1356481295 NPPES
Missouri MEDICAID 506076207

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