GREEN FOREST R-II (NPI# 1194103192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194103192 |
| Entity Type | Organization |
| Organization Name | GREEN FOREST R-II |
| Practice Address |
6111 Highway F Salem MO 65560-9671 |
| Practice Telephone | 5737293902 |
| Practice Fax Number | 5737294842 |
| Mailing Telephone | 5737293902 |
| Mailing Fax Number | 5737294842 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | KEVEN PRUGH (SUPERINTENDENT) |
| Authorized Official Telephone | 5737293902 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
6111 HIGHWAY F |
| City | SALEM |
| State | MO |
| Zip Code | 65560-9671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
| Find all providers in zip 65560 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346763679 | Salem School District | Local Education Agency (LEA) | 200 Hartford Rd, Salem, CT 06420-3804 | 2017-07-19 |
| 1104066513 | Salem City School District | Local Education Agency (LEA) | 1226 E State St, Salem, OH 44460-2222 | 2009-02-25 |
| 1720267693 | Central High School District of Westosha | Local Education Agency (LEA) | 24617 75th St, Salem, WI 53168 | 2007-10-29 |
| 1477732444 | Salem School District | Local Education Agency (LEA) | 8828 Antioch Rd, Salem, WI 53168-8973 | 2007-10-26 |
| 1215137690 | Salem R-80 School District | Local Education Agency (LEA) | 1400 Tiger Pride Dr, Salem, MO 65560-7678 | 2007-07-23 |
| 1942402409 | Salem Sch Dist 111 | Local Education Agency (LEA) | 315 S Maple St, Salem, IL 62881-2202 | 2007-06-05 |
| 1396947859 | Selmaville Cc Sch Dist 10 | Local Education Agency (LEA) | 3185 Selmaville Rd, Salem, IL 62881-6603 | 2007-06-05 |
| 1033311592 | Salem Comm Hs Dist 600 | Local Education Agency (LEA) | 1200 N Broadway Ave, Salem, IL 62881-4204 | 2007-06-05 |
| 1053520908 | Salem City Bd of Education | Local Education Agency (LEA) | 205 Walnut St, Suite 408, Salem, NJ 08079-9443 | 2007-05-21 |
| 1245452630 | Salem School District | Local Education Agency (LEA) | 38 Geremonty Dr, Salem, NH 03079-3313 | 2007-05-03 |
| Find all providers in SALEM | ||||
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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.