Provider Demographics
NPI:1922231471
Name:SCHOOL DISTRICT R4 RICH HILL
Entity Type:Organization
Organization Name:SCHOOL DISTRICT R4 RICH HILL
Other - Org Name:RICH HILL R-IV
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-395-2418
Mailing Address - Street 1:703 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:RICH HILL
Mailing Address - State:MO
Mailing Address - Zip Code:64779-2042
Mailing Address - Country:US
Mailing Address - Phone:417-395-2418
Mailing Address - Fax:417-395-2407
Practice Address - Street 1:703 N 3RD ST
Practice Address - Street 2:
Practice Address - City:RICH HILL
Practice Address - State:MO
Practice Address - Zip Code:64779-2042
Practice Address - Country:US
Practice Address - Phone:417-395-2418
Practice Address - Fax:417-395-2407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2016-06-15
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