Provider Demographics
NPI:1700437308
Name:WALNUT GROVE SCHOOL DIST R5
Entity Type:Organization
Organization Name:WALNUT GROVE SCHOOL DIST R5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-788-2543
Mailing Address - Street 1:300 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65770-8304
Mailing Address - Country:US
Mailing Address - Phone:417-838-0613
Mailing Address - Fax:
Practice Address - Street 1:300 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:WALNUT GROVE
Practice Address - State:MO
Practice Address - Zip Code:65770-8304
Practice Address - Country:US
Practice Address - Phone:417-838-0613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)