Provider Demographics
NPI:1821435108
Name:DECATUR PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:DECATUR PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-736-2253
Mailing Address - Street 1:1498 STADIUM AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AR
Mailing Address - Zip Code:72722-9780
Mailing Address - Country:US
Mailing Address - Phone:479-736-2253
Mailing Address - Fax:479-736-5682
Practice Address - Street 1:1498 STADIUM AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AR
Practice Address - Zip Code:72722-9780
Practice Address - Country:US
Practice Address - Phone:479-736-2253
Practice Address - Fax:479-736-5682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR194579720OtherAUDIOLOGY