Provider Demographics
NPI:1972714350
Name:PUXICO R-VIII SCHOOL DISTRICT
Entity type:Organization
Organization Name:PUXICO R-VIII SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-222-3762
Mailing Address - Street 1:481 NORTH BEDFORD STREET
Mailing Address - Street 2:
Mailing Address - City:PUXICO
Mailing Address - State:MO
Mailing Address - Zip Code:63960
Mailing Address - Country:US
Mailing Address - Phone:573-222-3107
Mailing Address - Fax:573-222-3769
Practice Address - Street 1:481 NORTH BEDFORD STREET
Practice Address - Street 2:
Practice Address - City:PUXICO
Practice Address - State:MO
Practice Address - Zip Code:63960
Practice Address - Country:US
Practice Address - Phone:573-222-3762
Practice Address - Fax:573-222-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO506262807Medicaid