Provider Demographics
NPI:1326183781
Name:SALEM PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:SALEM PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-895-2516
Mailing Address - Street 1:313 HIGHWAY 62 E
Mailing Address - Street 2:SUITE #1
Mailing Address - City:SALEM
Mailing Address - State:AR
Mailing Address - Zip Code:72576-9852
Mailing Address - Country:US
Mailing Address - Phone:870-895-2516
Mailing Address - Fax:
Practice Address - Street 1:313 HIGHWAY 62 E
Practice Address - Street 2:SUITE #1
Practice Address - City:SALEM
Practice Address - State:AR
Practice Address - Zip Code:72576-9852
Practice Address - Country:US
Practice Address - Phone:870-895-2516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR121041742Medicaid
AR125140743Medicaid
AR179071761Medicaid