Provider Demographics
NPI: | 1861549735 |
---|---|
Name: | WEST NODAWAY R-I SCHOOLS |
Entity type: | Organization |
Organization Name: | WEST NODAWAY R-I SCHOOLS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SUPERINTENDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | TERRY |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | BUHOLT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 660-725-4613 |
Mailing Address - Street 1: | PO BOX 260 |
Mailing Address - Street 2: | 17665 U S HIGHWAY 136 |
Mailing Address - City: | BURLINGTON JUNCTION |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 64428-0260 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 660-725-4613 |
Mailing Address - Fax: | 660-725-4300 |
Practice Address - Street 1: | 17665 U S HIGHWAY 136 |
Practice Address - Street 2: | |
Practice Address - City: | BURLINGTON JUNCTION |
Practice Address - State: | MO |
Practice Address - Zip Code: | 64428-0260 |
Practice Address - Country: | US |
Practice Address - Phone: | 660-725-4613 |
Practice Address - Fax: | 660-725-4300 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-04 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MO | 251300000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251300000X | Agencies | Local Education Agency (LEA) |