Provider Demographics
NPI:1770637126
Name:RIVERSIDE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RIVERSIDE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-237-4329
Mailing Address - Street 1:PO BOX 2570
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72402-2570
Mailing Address - Country:US
Mailing Address - Phone:870-935-4771
Mailing Address - Fax:870-910-5250
Practice Address - Street 1:601 CATFISH DRIVE
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:AR
Practice Address - Zip Code:72437
Practice Address - Country:US
Practice Address - Phone:870-935-4771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)