Provider Demographics
NPI:1215161708
Name:CLEVELAND COUNTY SCHOOL DISTRICT
Entity type:Organization
Organization Name:CLEVELAND COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SP ED
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-853-2864
Mailing Address - Street 1:700 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RISON
Mailing Address - State:AR
Mailing Address - Zip Code:71665
Mailing Address - Country:US
Mailing Address - Phone:870-853-2864
Mailing Address - Fax:
Practice Address - Street 1:202 E PARKER STREET
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646
Practice Address - Country:US
Practice Address - Phone:870-853-2864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR142404721Medicaid
AR176437742Medicaid