Provider Demographics
NPI:1497907885
Name:SCHOOL DISTRICT 4 BEVIER CONS
Entity Type:Organization
Organization Name:SCHOOL DISTRICT 4 BEVIER CONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-773-6611
Mailing Address - Street 1:400 BLOOMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BEVIER
Mailing Address - State:MO
Mailing Address - Zip Code:63532-1226
Mailing Address - Country:US
Mailing Address - Phone:660-773-6611
Mailing Address - Fax:660-773-6955
Practice Address - Street 1:400 BLOOMINGTON ST
Practice Address - Street 2:
Practice Address - City:BEVIER
Practice Address - State:MO
Practice Address - Zip Code:63532-1226
Practice Address - Country:US
Practice Address - Phone:660-773-6611
Practice Address - Fax:660-773-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2016-06-13
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