BRAYMER C-4 SCHOOL (NPI# 1003013111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003013111 |
| Entity Type | Organization |
| Organization Name | BRAYMER C-4 SCHOOL |
| Practice Address |
400 Bobcat Ave Braymer MO 64624-9750 |
| Practice Telephone | 6606452284 |
| Practice Fax Number | 6606452780 |
| Mailing Telephone | 6606452284 |
| Mailing Fax Number | 6606452780 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS J. ANDERSON (SUPERINTENDENT) |
| Authorized Official Telephone | 6606452284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | MO | Agencies |
| Street Address |
400 BOBCAT AVE |
| City | BRAYMER |
| State | MO |
| Zip Code | 64624-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215059209 | Northwest Health Services, Inc | Family Medicine | 109 Main Street, Braymer, MO 64624 | 2007-04-03 |
| 1033284955 | Daniel Scott Pennington | Chiropractor | 209 Main Street, Braymer, MO 64624 | 2006-11-24 |
| 1477520690 | Dorothy Milburn | Nurse Practitioner | 109 Main Street, Braymer, MO 64624-0036 | 2006-03-07 |
| 1043208796 | Golden Age Nursing Home District | Skilled Nursing Facility | 12498 Se Highway 116, Braymer, MO 64624-9107 | 2005-10-06 |
| 1588283196 | Hillary Marie Simpson | Physical Therapist | 12498 Se Highway 116, Braymer, MO 64624-9107 | 2020-04-14 |
| 1043785470 | Katelynn R Crawford | Nurse Practitioner | 109 N Main St, Braymer, MO 64624-9325 | 2018-10-12 |
| 1902336431 | Carolyn Ann Blackburn | Registered Nurse | 109 N Main St, Braymer, MO 64624-9325 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208796 | Golden Age Nursing Home District | Skilled Nursing Facility | 12498 Se Highway 116, Braymer, MO 64624-9107 | 2005-10-06 |
| 1588283196 | Hillary Marie Simpson | Physical Therapist | 12498 Se Highway 116, Braymer, MO 64624-9107 | 2020-04-14 |
| 1043785470 | Katelynn R Crawford | Nurse Practitioner | 109 N Main St, Braymer, MO 64624-9325 | 2018-10-12 |
| 1902336431 | Carolyn Ann Blackburn | Registered Nurse | 109 N Main St, Braymer, MO 64624-9325 | 2017-06-18 |
| 1215059209 | Northwest Health Services, Inc | Family Medicine | 109 Main Street, Braymer, MO 64624 | 2007-04-03 |
| 1033284955 | Daniel Scott Pennington | Chiropractor | 209 Main Street, Braymer, MO 64624 | 2006-11-24 |
| 1477520690 | Dorothy Milburn | Nurse Practitioner | 109 Main Street, Braymer, MO 64624-0036 | 2006-03-07 |
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1700437092 | Kairos Academies | Local Education Agency (LEA) | 2315 Miami St, Saint Louis, MO 63118-4053 | 2019-09-27 |
| 1700437308 | Walnut Grove School Dist R5 | Local Education Agency (LEA) | 300 W College St, Walnut Grove, MO 65770-8304 | 2019-09-25 |
| 1841847555 | Lonedell R-14 School District | Local Education Agency (LEA) | 7466 Highway Ff, Lonedell, MO 63060-1515 | 2019-08-19 |
| 1043875388 | Oak Ridge R-vi School District | Local Education Agency (LEA) | 4198 State Hwy E, Oak Ridge, MO 63769-5328 | 2019-05-02 |
| 1215497185 | Marion County R-ii School District | Local Education Agency (LEA) | 2905 Highway D, Philadelphia, MO 63463-2224 | 2019-03-25 |
| 1487110854 | Sunrise School District R-ix | Local Education Agency (LEA) | 4485 Sunrise School Rd, De Soto, MO 63020-5140 | 2019-02-11 |
| 1639647662 | Bell City R-ii School District | Local Education Agency (LEA) | 25254 Walnut St., Bell City, MO 63735 | 2018-11-07 |
| 1669949129 | Bradleyville R-i School District | Local Education Agency (LEA) | 16474 N State Highway 125, Bradleyville, MO 65614-3869 | 2018-11-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.