Provider Demographics
NPI:1770906612
Name:MAMMOTH SPRING SCHOOL DISTRICT
Entity type:Organization
Organization Name:MAMMOTH SPRING SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNBOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-625-3612
Mailing Address - Street 1:410 GOLDSMITH
Mailing Address - Street 2:
Mailing Address - City:MAMMOTH SPRING
Mailing Address - State:AR
Mailing Address - Zip Code:72554
Mailing Address - Country:US
Mailing Address - Phone:870-625-3612
Mailing Address - Fax:
Practice Address - Street 1:410 GOLDSMITH AVE
Practice Address - Street 2:
Practice Address - City:MAMMOTH SPRING
Practice Address - State:AR
Practice Address - Zip Code:72554-8045
Practice Address - Country:US
Practice Address - Phone:870-625-3612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)