Provider Demographics
NPI:1245304237
Name:NIANGUA R-V SCHOOL
Entity type:Organization
Organization Name:NIANGUA R-V SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:417-473-6101
Mailing Address - Street 1:301 RUMSEY ST
Mailing Address - Street 2:
Mailing Address - City:NIANGUA
Mailing Address - State:MO
Mailing Address - Zip Code:65713-8432
Mailing Address - Country:US
Mailing Address - Phone:417-473-6101
Mailing Address - Fax:417-473-6124
Practice Address - Street 1:301 RUMSEY ST
Practice Address - Street 2:
Practice Address - City:NIANGUA
Practice Address - State:MO
Practice Address - Zip Code:65713-8432
Practice Address - Country:US
Practice Address - Phone:417-473-6101
Practice Address - Fax:417-473-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)