Provider Demographics
NPI:1770653511
Name:WILLOW SPRINGS RIV SCHOOL
Entity type:Organization
Organization Name:WILLOW SPRINGS RIV SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-469-3260
Mailing Address - Street 1:215 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65793-1118
Mailing Address - Country:US
Mailing Address - Phone:417-469-3260
Mailing Address - Fax:417-469-5127
Practice Address - Street 1:215 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65793-1118
Practice Address - Country:US
Practice Address - Phone:417-469-3260
Practice Address - Fax:417-469-5127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)