Organization
SCHOOL OF THE OSAGE R-II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN JOHNSON (SUPERINTENDENT)
(573) 365-4091
Entity
Organization
Contact information
Practice address
1501 SCHOOL ROAD, LAKE OZARK, MO 65049-1960
(573) 365-4091
(573) 365-5748
Mailing address
PO BOX 1960, LAKE OZARK, MO 65049-1960
(573) 365-4091
(573) 365-5748
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
503777302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463777300
—
MO
05
—
473777308
—
MO
05
—
483777306
—
MO
Enumeration date
11/14/2006
Last updated
08/01/2008
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