Basic Information
Provider Information
NPI: 1932262003
EntityType: 2
ReplacementNPI:  
OrganizationName: ARCH FORD EDUCATION COOPERATIVE
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 101 BULLDOG DR
Address2:  
City: PLUMERVILLE
State: AR
PostalCode: 721278803
CountryCode: US
TelephoneNumber: 5013542269
FaxNumber:  
Practice Location
Address1: 101 BULLDOG DR
Address2:  
City: PLUMERVILLE
State: AR
PostalCode: 721278803
CountryCode: US
TelephoneNumber: 5013542269
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/19/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CLAY
AuthorizedOfficialFirstName: JUDY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: COORDINATOR
AuthorizedOfficialTelephone: 5013542269
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251300000X  Y AgenciesLocal Education Agency (LEA) 

No ID Information.


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