Provider Demographics
NPI:1396965554
Name:WESTERN YELL COUNTY SCHOOL DIST
Entity type:Organization
Organization Name:WESTERN YELL COUNTY SCHOOL DIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-495-2719
Mailing Address - Street 1:1 WOLVERINE LANE
Mailing Address - Street 2:P.O. BOX 214
Mailing Address - City:HAVANA
Mailing Address - State:AR
Mailing Address - Zip Code:72842
Mailing Address - Country:US
Mailing Address - Phone:479-476-4116
Mailing Address - Fax:
Practice Address - Street 1:1 WOLVERINE LANE
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:AR
Practice Address - Zip Code:72842
Practice Address - Country:US
Practice Address - Phone:479-476-4116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7509000251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)