Provider Demographics
NPI:1235358102
Name:DOLLARWAY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DOLLARWAY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID BILLING
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-575-0711
Mailing Address - Street 1:4900 DOLLARWAY RD
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71602-4006
Mailing Address - Country:US
Mailing Address - Phone:870-575-0711
Mailing Address - Fax:870-575-0713
Practice Address - Street 1:4900 DOLLARWAY RD
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71602-4006
Practice Address - Country:US
Practice Address - Phone:870-575-0711
Practice Address - Fax:870-575-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)