Provider Demographics
NPI:1518027713
Name:SUPERINTENDENT OF VAN BUREN SCHOOL DISTRICT 42
Entity Type:Organization
Organization Name:SUPERINTENDENT OF VAN BUREN SCHOOL DISTRICT 42
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-471-3187
Mailing Address - Street 1:2221 E POINTER TRL
Mailing Address - Street 2:ATTN: SPECIAL EDUCATION DEPT.
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-2336
Mailing Address - Country:US
Mailing Address - Phone:479-471-3187
Mailing Address - Fax:479-471-3147
Practice Address - Street 1:2221 E POINTER TRL
Practice Address - Street 2:ATTN: SPECIAL EDUCATION DEPT.
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-2336
Practice Address - Country:US
Practice Address - Phone:479-471-3187
Practice Address - Fax:479-471-3147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR124988761Medicaid
AR116082743Medicaid
AR175839732Medicaid
AR155655738Medicaid