Provider Demographics
NPI:1497951339
Name:KING CITY R-I SCHOOLS
Entity Type:Organization
Organization Name:KING CITY R-I SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERSOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-535-4319
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:KING CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64463-0189
Mailing Address - Country:US
Mailing Address - Phone:660-535-4319
Mailing Address - Fax:660-535-4765
Practice Address - Street 1:300 NORTH GRAND AVE.
Practice Address - Street 2:
Practice Address - City:KING CITY
Practice Address - State:MO
Practice Address - Zip Code:64463-0189
Practice Address - Country:US
Practice Address - Phone:660-535-4319
Practice Address - Fax:660-535-4765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506170604Medicaid