Provider Demographics
NPI:1598019929
Name:COOPER COUNTY R-IV SCHOOL
Entity type:Organization
Organization Name:COOPER COUNTY R-IV SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-427-5347
Mailing Address - Street 1:500 E MAIN ST
Mailing Address - Street 2:SPECIAL SERVICES -- CLAIM CARE
Mailing Address - City:BUNCETON
Mailing Address - State:MO
Mailing Address - Zip Code:65237-1125
Mailing Address - Country:US
Mailing Address - Phone:660-427-5347
Mailing Address - Fax:660-427-5348
Practice Address - Street 1:500 E MAIN ST
Practice Address - Street 2:SPECIAL SERVICES -- CLAIM CARE
Practice Address - City:BUNCETON
Practice Address - State:MO
Practice Address - Zip Code:65237-1125
Practice Address - Country:US
Practice Address - Phone:660-427-5347
Practice Address - Fax:660-427-5348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)