Provider Demographics
NPI:1669532776
Name:PETTIS COUNTY R-V SCHOOL DISTRICT
Entity type:Organization
Organization Name:PETTIS COUNTY R-V SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FAGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-827-0772
Mailing Address - Street 1:16215 HIGHWAY H
Mailing Address - Street 2:
Mailing Address - City:HUGHESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65334-2027
Mailing Address - Country:US
Mailing Address - Phone:660-827-0772
Mailing Address - Fax:660-827-7162
Practice Address - Street 1:16215 HIGHWAY H
Practice Address - Street 2:
Practice Address - City:HUGHESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65334-2027
Practice Address - Country:US
Practice Address - Phone:660-827-0772
Practice Address - Fax:660-827-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)