Granger School District

Organization Active NPI Local Education Agency (LEA) · Granger, WA

NPI 1124059290 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1124059290
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
GRANGER SCHOOL DISTRICT
Practice address
701 E Ave
Granger, WA 98932-9711
Phone
(509) 854-3065
Fax
(509) 854-1083
NPI assigned
Jul 6, 2006
Organization subpart
No

Authorized official

Name
Dr. Cherry Fairbanks
Title
Special Education Administrator
Phone
(509) 854-3065

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2228334Granger School District
701 E Ave, Granger, WA 98932
Certificate of waiverApr 4, 2028

National Provider Directory

Locations

701 E Ave
Granger, WA 98932
Phone (509) 854-3065

Specialties & licenses

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

Addresses

Primary practice location

701 E Ave
Granger, WA 98932-9711

Mailing address

701 E Ave
PO Box 400
Granger, WA 98932-9711
Phone (509) 854-3065

Other identifiers

IdentifierTypeStateIssuer
7440720MedicaidWA

Other providers in Granger, WA

All providers in Granger, WA · Local Education Agency (LEA) in Washington

Sources for this page

Verify at the official NPI Registry.