Organization
SUPERINTENDENT OF MAMMOTH SPRING SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA B HUMPHREYS (SPECIAL SERVICES COORDINATOR)
(870) 625-3096
Entity
Organization
Contact information
Practice address
410 GOLDSMITH AVE, MAMMOTH SPRING, AR 72554-8045
(870) 625-3096
(870) 625-3609
Mailing address
PO BOX 370, MAMMOTH SPRING, AR 72554-0370
(870) 625-3096
(870) 625-3609
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140932742
—
AR
05
—
166891761
—
AR
05
—
166913732
—
AR
Enumeration date
04/25/2008
Last updated
06/24/2008
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