Provider Demographics
NPI:1154478923
Name:WORTH COUNTY RIII SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WORTH COUNTY RIII SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:GRAY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-564-3389
Mailing Address - Street 1:RR 3 BOX 107
Mailing Address - Street 2:
Mailing Address - City:GRANT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64456-8833
Mailing Address - Country:US
Mailing Address - Phone:660-564-3389
Mailing Address - Fax:660-564-2193
Practice Address - Street 1:RR 3 BOX 107
Practice Address - Street 2:
Practice Address - City:GRANT CITY
Practice Address - State:MO
Practice Address - Zip Code:64456-8833
Practice Address - Country:US
Practice Address - Phone:660-564-3389
Practice Address - Fax:660-564-2193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty