Organization Active NPI

Pomeroy School District

  • Local Education Agency (LEA)
  • Pomeroy, WA
National Provider Identifier
1073531182
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
POMEROY SCHOOL DISTRICT
Practice address
1221 10TH St
Pomeroy, WA 99347
Phone
(509) 843-1331
Fax
(509) 843-8202
NPI assigned
Jul 17, 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. Fred R Knebel, M.ED.
Title
Admin. of Special Services
Phone
(509) 843-1331

Specialties & licenses 1

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

Addresses

Primary practice location

1221 10TH St
Pomeroy, WA 99347

Mailing address

1221 10TH St
PO Box 950
Pomeroy, WA 99347
Phone (509) 843-1331

Other identifiers 1

IdentifierTypeStateIssuer
7441447MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073531182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 10TH ST",
            "address_2": "PO BOX 950",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "99347",
            "telephone_number": "509-843-1331",
            "fax_number": "509-843-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 10TH ST",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "99347",
            "telephone_number": "509-843-1331",
            "fax_number": "509-843-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMEROY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNEBEL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMIN. OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "509-843-1331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441447",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, 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.