Provider Demographics
NPI:1467512665
Name:SCHOOL DIST C 12 WEST PLAINS
Entity Type:Organization
Organization Name:SCHOOL DIST C 12 WEST PLAINS
Other - Org Name:JUNCTION HILL C-12
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-256-4265
Mailing Address - Street 1:8004 COUNTY ROAD 3010
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-4949
Mailing Address - Country:US
Mailing Address - Phone:417-256-4265
Mailing Address - Fax:417-256-3588
Practice Address - Street 1:8004 COUNTY ROAD 3010
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-4949
Practice Address - Country:US
Practice Address - Phone:417-256-4265
Practice Address - Fax:417-256-3588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO506116904251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506116904Medicaid