Provider Demographics
NPI:1649316738
Name:DAWSON EDUCATIONAL COOP
Entity type:Organization
Organization Name:DAWSON EDUCATIONAL COOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:JESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSE
Authorized Official - Phone:870-246-3077
Mailing Address - Street 1:711 CLINTON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ARKADELPHIA
Mailing Address - State:AR
Mailing Address - Zip Code:71923-5967
Mailing Address - Country:US
Mailing Address - Phone:870-246-3077
Mailing Address - Fax:870-246-3130
Practice Address - Street 1:711 CLINTON ST STE 201
Practice Address - Street 2:
Practice Address - City:ARKADELPHIA
Practice Address - State:AR
Practice Address - Zip Code:71923-5967
Practice Address - Country:US
Practice Address - Phone:870-246-3077
Practice Address - Fax:870-246-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116917742Medicaid
AR117049743Medicaid