Provider Demographics
NPI:1831424381
Name:BENTON COUNTY SCHOOL OF THE ARTS
Entity type:Organization
Organization Name:BENTON COUNTY SCHOOL OF THE ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-636-5447
Mailing Address - Street 1:2005 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-6307
Mailing Address - Country:US
Mailing Address - Phone:479-636-5447
Mailing Address - Fax:
Practice Address - Street 1:2005 S 12TH ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-6307
Practice Address - Country:US
Practice Address - Phone:479-636-5447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)