Provider Demographics
NPI:1982919502
Name:SCRANTON PUBLIC SCHOOL
Entity Type:Organization
Organization Name:SCRANTON PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIPPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-650-0399
Mailing Address - Street 1:103 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:AR
Mailing Address - Zip Code:72863-9386
Mailing Address - Country:US
Mailing Address - Phone:479-650-0399
Mailing Address - Fax:479-434-6886
Practice Address - Street 1:103 N 10TH ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:AR
Practice Address - Zip Code:72863-9386
Practice Address - Country:US
Practice Address - Phone:479-650-0399
Practice Address - Fax:479-434-6886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)