# CONWAY PUBLIC SCHOOLS \#01

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

## Provider details

- **NPI number:** 1245392752
- **Authorized official:** MRS. CHARLOTTE VANN (DIRECTOR OF SPECIAL EDUCATION)
- **Authorized official phone:** (501) 450-6634

## Contact information

- **Practice address:** 1902 HAIRSTON ST, CONWAY, AR 72034-3227
- **Practice address phone:** (501) 450-6634
- **Practice address fax:** (501) 450-4862
- **Mailing address:** 2200 PRINCE ST, CONWAY, AR 72034-3750
- **Mailing address phone:** (501) 450-4800
- **Mailing address fax:** (501) 450-4898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WS0200X | School Registered Nurse | — | NULL | — |
| 163WS0200X | School Registered Nurse | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | AR | — |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 12/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 116042743 | — | AR |
| 05 | — | 118688761 | — | AR |