Provider Demographics
NPI:1457772337
Name:SCOTLAND CO. R-1
Entity Type:Organization
Organization Name:SCOTLAND CO. R-1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERGESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-465-8531
Mailing Address - Street 1:438 WEST LOVERS LANE
Mailing Address - Street 2:SPECIAL SERVICES - CLAIM CARE
Mailing Address - City:MEMPHIS
Mailing Address - State:MO
Mailing Address - Zip Code:63555-9410
Mailing Address - Country:US
Mailing Address - Phone:660-465-8531
Mailing Address - Fax:660-465-8636
Practice Address - Street 1:438 WEST LOVERS LANE
Practice Address - Street 2:SPECIAL SERVICES - CLAIM CARE
Practice Address - City:MEMPHIS
Practice Address - State:MO
Practice Address - Zip Code:63555-9410
Practice Address - Country:US
Practice Address - Phone:660-465-8531
Practice Address - Fax:660-465-8636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)