Provider Demographics
NPI:1881758803
Name:AVA R-I SCHOOL
Entity type:Organization
Organization Name:AVA R-I SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-683-4717
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:507 NE 3RD STREET
Mailing Address - City:AVA
Mailing Address - State:MO
Mailing Address - Zip Code:65608-0338
Mailing Address - Country:US
Mailing Address - Phone:417-683-4717
Mailing Address - Fax:417-683-4227
Practice Address - Street 1:304 NE 9TH AVE.
Practice Address - Street 2:
Practice Address - City:AVA
Practice Address - State:MO
Practice Address - Zip Code:65608-0338
Practice Address - Country:US
Practice Address - Phone:417-683-4717
Practice Address - Fax:417-683-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)