County of Clark School District 117

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

COUNTY OF CLARK SCHOOL DISTRICT 117

Practice address

1919 NE Ione St
Camas, WA 98607-1148

Phone

(360) 833-5400

Fax

(360) 833-5402

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Ina Evers-Martin

Title

Business Director

Phone

(360) 833-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Camas School District Other name

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1285715128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NE IONE ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071148",
            "telephone_number": "360-833-5400",
            "fax_number": "360-833-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NE IONE ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071148",
            "telephone_number": "360-833-5400",
            "fax_number": "360-833-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLARK SCHOOL DISTRICT 117",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "EVERS-MARTIN",
        "authorized_official_first_name": "INA",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "360-833-5400"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442494",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camas School District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Local Education Agency (LEA) in Camas, WA
• Providers in Camas, WA by specialty
• Local Education Agency (LEA) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.