Organization Active NPI

Mt. Adams School District 209

  • Local Education Agency (LEA)
  • White Swan, WA
National Provider Identifier
1114097318
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MT. ADAMS SCHOOL DISTRICT 209
Practice address
621 Signal Peak Rd
White Swan, WA 98952
Phone
(509) 848-5710
Fax
(509) 848-5750
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Warren C Starr, M.D.
Title
Special Education Director
Phone
(509) 848-5755

Specialties & licenses 1

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

Addresses

Primary practice location

621 Signal Peak Rd
White Swan, WA 98952

Mailing address

621 Signal Peak Rd
PO Box 578
White Swan, WA 98952
Phone (509) 848-5710

Other identifiers 1

IdentifierTypeStateIssuer
7440225MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1114097318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SIGNAL PEAK RD",
            "address_2": "PO BOX 578",
            "city": "WHITE SWAN",
            "state": "WA",
            "postal_code": "98952",
            "telephone_number": "509-848-5710",
            "fax_number": "509-848-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SIGNAL PEAK RD",
            "city": "WHITE SWAN",
            "state": "WA",
            "postal_code": "98952",
            "telephone_number": "509-848-5710",
            "fax_number": "509-848-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. ADAMS SCHOOL DISTRICT 209",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "509-848-5755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440225",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Swan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.