Provider Demographics
NPI:1629255369
Name:SCHOOL DIST R7 POLO
Entity Type:Organization
Organization Name:SCHOOL DIST R7 POLO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWHART
Authorized Official - Suffix:
Authorized Official - Credentials:ED SPECIALIST
Authorized Official - Phone:660-354-2326
Mailing Address - Street 1:300 WEST SCHOOL ST.
Mailing Address - Street 2:
Mailing Address - City:POLO
Mailing Address - State:MO
Mailing Address - Zip Code:64671
Mailing Address - Country:US
Mailing Address - Phone:660-354-2910
Mailing Address - Fax:
Practice Address - Street 1:300 WEST SCHOOL ST.
Practice Address - Street 2:
Practice Address - City:POLO
Practice Address - State:MO
Practice Address - Zip Code:64671
Practice Address - Country:US
Practice Address - Phone:660-354-2910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCHOOL DIST R7 POLO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00405235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty