Organization Active NPI

Selah School District

  • Local Education Agency (LEA)
  • Selah, WA
National Provider Identifier
1023109287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SELAH SCHOOL DISTRICT
Practice address
105 W Bartlett Ave
Selah, WA 98942-1117
Phone
(509) 697-0714
Fax
(509) 697-0692
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joel Hollingsworth
Title
Director of Student Support
Phone
(509) 697-0714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X WA Primary

Addresses

Primary practice location

105 W Bartlett Ave
Selah, WA 98942-1117

Mailing address

105 W Bartlett Ave
Selah, WA 98942-1117
Phone (509) 697-0714

Other identifiers 1

IdentifierTypeStateIssuer
7440357MedicaidWA

National Provider Directory

National Provider Directory

Locations

105 W Bartlett Ave
Selah, WA 98942
Phone (509) 697-0714

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023109287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W BARTLETT AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421117",
            "telephone_number": "509-697-0714",
            "fax_number": "509-697-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W BARTLETT AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421117",
            "telephone_number": "509-697-0714",
            "fax_number": "509-697-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SUPPORT",
        "authorized_official_telephone_number": "509-697-0714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440357",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.