Provider Demographics
NPI:1326296005
Name:DORA R-III SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DORA R-III SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-261-2263
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:613 COUNTY ROAD 379
Mailing Address - City:DORA
Mailing Address - State:MO
Mailing Address - Zip Code:65637-0014
Mailing Address - Country:US
Mailing Address - Phone:417-261-2263
Mailing Address - Fax:417-261-2673
Practice Address - Street 1:613 COUNTY ROAD 379
Practice Address - Street 2:
Practice Address - City:DORA
Practice Address - State:MO
Practice Address - Zip Code:65637-0014
Practice Address - Country:US
Practice Address - Phone:417-261-2263
Practice Address - Fax:417-261-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO505858902Medicaid