Provider Demographics
NPI:1518092113
Name:VALLEY SPRINGS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:VALLEY SPRINGS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-719-5997
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72682-0640
Mailing Address - Country:US
Mailing Address - Phone:870-302-3047
Mailing Address - Fax:855-741-0569
Practice Address - Street 1:7349 SCHOOL ST.
Practice Address - Street 2:
Practice Address - City:VALLEY SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72682
Practice Address - Country:US
Practice Address - Phone:870-429-9200
Practice Address - Fax:870-429-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0505251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR120974743Medicaid
AR116063742Medicaid
AR133215761Medicaid
AR168492732Medicaid