Provider Demographics
NPI:1033239868
Name:COUNTY OF CARROLL SCHOOL DIST R8
Entity Type:Organization
Organization Name:COUNTY OF CARROLL SCHOOL DIST R8
Other - Org Name:NORBORNE R-VIII SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:CAMERAN
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-593-3319
Mailing Address - Street 1:405 PIRATE LN PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:NORBORNE
Mailing Address - State:MO
Mailing Address - Zip Code:64668-1382
Mailing Address - Country:US
Mailing Address - Phone:660-593-3319
Mailing Address - Fax:660-593-3657
Practice Address - Street 1:405 PIRATE LN
Practice Address - Street 2:
Practice Address - City:NORBORNE
Practice Address - State:MO
Practice Address - Zip Code:64668-1382
Practice Address - Country:US
Practice Address - Phone:660-593-3319
Practice Address - Fax:660-593-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506123306Medicaid