Provider Demographics
NPI:1710028386
Name:HOLLIDAY C-2 SCHOOL DIST
Entity Type:Organization
Organization Name:HOLLIDAY C-2 SCHOOL DIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-266-3412
Mailing Address - Street 1:PO BOX 7038
Mailing Address - Street 2:201 CURTWRIGHT ST
Mailing Address - City:HOLLIDAY
Mailing Address - State:MO
Mailing Address - Zip Code:65258-7038
Mailing Address - Country:US
Mailing Address - Phone:660-266-3412
Mailing Address - Fax:660-266-3029
Practice Address - Street 1:201 CURTWRIGHT ST
Practice Address - Street 2:
Practice Address - City:HOLLIDAY
Practice Address - State:MO
Practice Address - Zip Code:65258
Practice Address - Country:US
Practice Address - Phone:660-266-3412
Practice Address - Fax:660-266-3029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506077007Medicaid