Provider Demographics
NPI:1942633342
Name:HICKMAN MILLS C-1 SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HICKMAN MILLS C-1 SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED FACILITATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-316-7068
Mailing Address - Street 1:9000 OLD SANTA FE RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64138-3913
Mailing Address - Country:US
Mailing Address - Phone:816-316-7000
Mailing Address - Fax:
Practice Address - Street 1:9201 E BANNISTER RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-2209
Practice Address - Country:US
Practice Address - Phone:816-316-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty