# SCHOOL OF THE OSAGE R-II

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

## Provider details

- **NPI number:** 1083786586
- **Authorized official:** DR. MARY ANN JOHNSON (SUPERINTENDENT)
- **Authorized official phone:** (573) 365-4091

## Contact information

- **Practice address:** 1501 SCHOOL ROAD, LAKE OZARK, MO 65049-1960
- **Practice address phone:** (573) 365-4091
- **Practice address fax:** (573) 365-5748
- **Mailing address:** PO BOX 1960, LAKE OZARK, MO 65049-1960
- **Mailing address phone:** (573) 365-4091
- **Mailing address fax:** (573) 365-5748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | 503777302 | MO | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/01/2008