Organization Active NPI

Skykomish School District

  • Local Education Agency (LEA)
  • Skykomish, WA
National Provider Identifier
1346579851
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SKYKOMISH SCHOOL DISTRICT
Practice address
105 Sixth Street North
Skykomish, WA 98288-0325
Phone
(360) 677-2623
Fax
(360) 677-2418
NPI assigned
Dec 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Mr. Jeffery L Long
Title
Superintendent
Phone
(360) 677-2623

Specialties & licenses 1

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

Addresses

Primary practice location

105 Sixth Street North
Skykomish, WA 98288-0325

Mailing address

105 Sixth Street North
PO Box 325
Skykomish, WA 98288-0325
Phone (360) 677-2623

Other identifiers 1

IdentifierTypeStateIssuer
7442700MedicaidWA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2210995Skykomish School District #404105 N 6TH St, Skykomish, WA 98288Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1346579851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SIXTH STREET NORTH",
            "address_2": "PO BOX 325",
            "city": "SKYKOMISH",
            "state": "WA",
            "postal_code": "982880325",
            "telephone_number": "360-677-2623",
            "fax_number": "360-677-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SIXTH STREET NORTH",
            "city": "SKYKOMISH",
            "state": "WA",
            "postal_code": "982880325",
            "telephone_number": "360-677-2623",
            "fax_number": "360-677-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYKOMISH SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "360-677-2623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skykomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.