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Contact Information

DERMOTT HIGH SCHOOL
525 EAST SPEEDWAY
DERMOTT, AR71638
 Phone: 870-538-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for DERMOTT HIGH SCHOOL

NPI Number 1861555005
LBN Legal business name DERMOTT HIGH SCHOOL
Authorized official JEANIE DONALDSON - (MITS SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 07/17/2008 - About 18 years ago
Identifiers
AR License # 0901
AR License # LEA0901
AR Medicaid 116399743
AR Medicaid 116599743
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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