Provider Demographics
NPI:1578611141
Name:FOREMAN SCHOOL DISTRICT #25
Entity Type:Organization
Organization Name:FOREMAN SCHOOL DISTRICT #25
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIRMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-542-7211
Mailing Address - Street 1:PO BOX 480
Mailing Address - Street 2:
Mailing Address - City:FOREMAN
Mailing Address - State:AR
Mailing Address - Zip Code:71836-0480
Mailing Address - Country:US
Mailing Address - Phone:870-542-7211
Mailing Address - Fax:
Practice Address - Street 1:603 DOLLARHIDE
Practice Address - Street 2:
Practice Address - City:FOREMAN
Practice Address - State:AR
Practice Address - Zip Code:71836-0480
Practice Address - Country:US
Practice Address - Phone:870-542-7211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR130749742Medicaid
AR143737792Medicaid
ARMC012047Medicaid