Provider Demographics
NPI:1225178015
Name:HIGBEE CONS SCH DIST R 8
Entity Type:Organization
Organization Name:HIGBEE CONS SCH DIST R 8
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKENDOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-456-7277
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:101 EVANS
Mailing Address - City:HIGBEE
Mailing Address - State:MO
Mailing Address - Zip Code:65257-0128
Mailing Address - Country:US
Mailing Address - Phone:660-456-7277
Mailing Address - Fax:660-456-7278
Practice Address - Street 1:101 EVANS ST
Practice Address - Street 2:
Practice Address - City:HIGBEE
Practice Address - State:MO
Practice Address - Zip Code:65257-1009
Practice Address - Country:US
Practice Address - Phone:660-456-7277
Practice Address - Fax:660-456-7278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506076801Medicaid