Provider Demographics
NPI:1427110212
Name:SCHOOL DISTRICT R- 3 CAMDENTON
Entity type:Organization
Organization Name:SCHOOL DISTRICT R- 3 CAMDENTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-346-9242
Mailing Address - Street 1:119 SERVICE ROAD
Mailing Address - Street 2:P.O. BOX 1409
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020
Mailing Address - Country:US
Mailing Address - Phone:573-346-9242
Mailing Address - Fax:573-346-9290
Practice Address - Street 1:119 SERVICE ROAD
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-1409
Practice Address - Country:US
Practice Address - Phone:573-346-9242
Practice Address - Fax:573-346-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)