# BISMARCK R-V SCHOOL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003956475
- **Authorized official:** BETH LATHAM (ADMINISTRATIVE ASSISTANT/BOOKKEEPER)
- **Authorized official phone:** (573) 734-6111

## Contact information

- **Practice address:** 101 DENNIS DRIVE, BISMARCK, MO 63624-0257
- **Practice address phone:** (573) 734-6111
- **Practice address fax:** (573) 734-2957
- **Mailing address:** PO BOX 257, 101 DENNIS DRIVE, BISMARCK, MO 63624-0257
- **Mailing address phone:** (573) 734-6111
- **Mailing address fax:** (573) 734-2957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 06/13/2016