Provider Demographics
NPI:1477708493
Name:COUNTY OF SCOTT SCHOOL DISTRICT R 3
Entity Type:Organization
Organization Name:COUNTY OF SCOTT SCHOOL DISTRICT R 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-262-2330
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:310 CHURCH ST
Mailing Address - City:ORAN
Mailing Address - State:MO
Mailing Address - Zip Code:63771-0250
Mailing Address - Country:US
Mailing Address - Phone:573-262-2330
Mailing Address - Fax:573-262-2330
Practice Address - Street 1:310 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:ORAN
Practice Address - State:MO
Practice Address - Zip Code:63771
Practice Address - Country:US
Practice Address - Phone:573-262-2330
Practice Address - Fax:573-262-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty