NPIMap

Organization Active NPI

Douglas Education Service District

  • Local Education Agency (LEA)
  • Roseburg, OR
National Provider Identifier
1124169404
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
DOUGLAS EDUCATION SERVICE DISTRICT
Practice address
1871 NE Stephens Stret
Roseburg, OR 97470
Phone
(541) 440-4777
Fax
(541) 440-4771
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Susan C Graham, M.S., CCC
Title
Ei/Ecse Regional Director
Phone
(541) 440-4792

Specialties & licenses 2

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

Addresses

Primary practice location

1871 NE Stephens Stret
Roseburg, OR 97470

Mailing address

1871 NE Stephens Street
Roseburg, OR 97470
Phone (541) 440-4777

Other identifiers 2

IdentifierTypeStateIssuer
DMAP018700MedicaidOR
018700MedicaidOR

Other names 1

  • Douglas ESD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Douglas Education Service District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1124169404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 NE STEPHENS STREET",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97470",
            "telephone_number": "541-440-4777",
            "fax_number": "541-440-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 NE STEPHENS STRET",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97470",
            "telephone_number": "541-440-4777",
            "fax_number": "541-440-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS EDUCATION SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EI/ECSE REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "541-440-4792",
        "authorized_official_credential": "M.S., CCC"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DMAP018700",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018700",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas ESD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.