ADVANCE R-IV PUBLIC SCHOOLS (NPI# 1063553402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063553402 |
| Entity Type | Organization |
| Organization Name | ADVANCE R-IV PUBLIC SCHOOLS |
| Other Organization Name | SCHOOL DISTRICT 4 REORGANIZED |
| Practice Address |
19805 State Hwy C Advance MO 63730 |
| Mailing Address |
Po Box 370 Advance MO 63730-0370 |
| Practice Telephone | 5737223581 |
| Practice Fax Number | 5737229886 |
| Mailing Telephone | 5737223581 |
| Mailing Fax Number | 5737229886 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL REDMAN (SUPERINTENDENT OF SCHOOLS) |
| Authorized Official Telephone | 5737223581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | MO | Agencies |
| Other Name | Type Code |
|---|---|
| School District 4 Reorganized | Other Name - Individual/Organization |
| Street Address |
19805 STATE HWY C |
| City | ADVANCE |
| State | MO |
| Zip Code | 63730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326242645 | Mary Diane Reeves | Speech-Language Pathologist | 19805 State Hwy C, Box 370, Advance, MO 63730 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292302 | Kimberly Backfisch | Counselor | 105b N Oak St, Advance, MO 63730 | 2020-07-09 |
| 1306272653 | Phelps In-home Care, LLC | In Home Supportive Care | 201 W. Sturdivant St., Advance, MO 63730 | 2013-09-18 |
| 1265691869 | Advance Medical Clinic | Clinic/Center | 103 South Oak Street, Advance, MO 63730 | 2008-06-09 |
| 1063620565 | Jerrilyn D Adkisson | Point of Service | 24777 State Hwy 25, Advance, MO 63730 | 2007-05-18 |
| 1154476919 | Cindy Beussink | Speech-Language Pathologist | 19134 County Rd 208, Advance, MO 63730 | 2007-01-24 |
| 1225191752 | Cross Trails Medical Center | Clinic/Center | 307 Gabriel St., Advance, MO 63730 | 2006-12-18 |
| 1346356177 | Haven Health Cares | Clinic/Center | 502 West Sturdivant Street, Advance, MO 63730 | 2006-08-22 |
| 1841508264 | Cross Trails Medical Center | Dentist | 307 Gabriel St, Advance, MO 63730 | 2010-09-20 |
| 1154583987 | John Carl Graf IIi | Dentist | 307 Gabriel St, Advance, MO 63730-0039 | 2008-07-02 |
| 1265734941 | Beverly Jaye Dillow | Dental Hygienist | 307 Gabriel St, Advance, MO 63730-0039 | 2010-12-01 |
| Find all providers in zip 63730 | ||||
| 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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|---|---|---|---|---|
| 1275142069 | Boncl School Dist R-10 | Local Education Agency (LEA) | 23526 Pike 9247, Louisiana, MO 63353-4103 | 2020-07-28 |
| 1033756770 | Southwest R-5 School District | Local Education Agency (LEA) | 529 E Pineville Rd, Washburn, MO 65772-9224 | 2019-12-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.