Provider Demographics
NPI:1245391333
Name:SUPERINTENDENT OF BEARDEN HIGH SCHOOL BEARDEN SCHOOL DISTRICT 53
Entity Type:Organization
Organization Name:SUPERINTENDENT OF BEARDEN HIGH SCHOOL BEARDEN SCHOOL DISTRICT 53
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-687-2236
Mailing Address - Street 1:PO BOX 195
Mailing Address - Street 2:
Mailing Address - City:BEARDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71720-0195
Mailing Address - Country:US
Mailing Address - Phone:870-687-2236
Mailing Address - Fax:
Practice Address - Street 1:100 OAK AVENUE
Practice Address - Street 2:
Practice Address - City:BEARDEN
Practice Address - State:AR
Practice Address - Zip Code:71720
Practice Address - Country:US
Practice Address - Phone:870-687-2236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR135439742Medicaid