BOLIVAR R0I (NPI# 1578681607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578681607 |
| Entity Type | Organization |
| Organization Name | BOLIVAR R0I |
| Practice Address |
604 W Jackson St Bolivar MO 65613-1904 |
| Practice Telephone | 4173263811 |
| Mailing Telephone | 4173263811 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | MS. TAMARA LYNN DAUGHTREY (SPEECH THERAPIST) |
| Authorized Official Telephone | 4173263811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
604 W JACKSON ST |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| 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 |
|---|---|---|---|---|
| 1043365471 | Bolivar-richburg Central School District | Local Education Agency (LEA) | 100 School St, Bolivar, NY 14715-1235 | 2007-01-24 |
| 1902144892 | Hardeman County Schools | Local Education Agency (LEA) | 10815 Old Highway 64, Bolivar, TN 38008-3599 | 2013-01-28 |
| 1124146097 | Bolivar R-1 Schools | Local Education Agency (LEA) | 524 W Madison St, Bolivar, MO 65613-1945 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.