Provider Demographics
NPI:1497806533
Name:DIERKS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DIERKS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-286-2191
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:DIERKS
Mailing Address - State:AR
Mailing Address - Zip Code:71833-0124
Mailing Address - Country:US
Mailing Address - Phone:870-286-2191
Mailing Address - Fax:870-286-2450
Practice Address - Street 1:900 OLD HWY 70 W
Practice Address - Street 2:
Practice Address - City:DIERKS
Practice Address - State:AR
Practice Address - Zip Code:71833-0124
Practice Address - Country:US
Practice Address - Phone:870-286-2191
Practice Address - Fax:870-286-2450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)