Roosevelt School District
Organization Active NPI Local Education Agency (LEA) · Roosevelt, WA
NPI 1356465744 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356465744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- ROOSEVELT SCHOOL DISTRICT
- Practice address
- 615 Chinook Avenue
Roosevelt, WA 99356 - Phone
- (509) 374-5462
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Bernice J Sundby
- Title
- Business Manager
- Phone
- (360) 750-7500
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | WA | Yes |
Addresses
Primary practice location
615 Chinook Avenue
Roosevelt, WA 99356
Mailing address
615 Chinook Avenue
Roosevelt, WA 99356
Phone (509) 374-5462
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440233 | Medicaid | WA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.