Liberty School District
Organization Active NPI Local Education Agency (LEA) · Spangle, WA
NPI 1376576587 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376576587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- LIBERTY SCHOOL DISTRICT
- Practice address
- 29818 S North Pine Creek Rd
Spangle, WA 99031-9707 - Phone
- (509) 245-3223
- Fax
- (509) 245-3288
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Gracie P Hodgson
- Title
- Special Services
- Phone
- (509) 245-3211
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2219247 | Liberty School District | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
Locations
29818 N Pine Creek Rd
Spangle, WA 99031
Phone (509) 245-3223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | WA | Yes |
Addresses
Primary practice location
29818 S North Pine Creek Rd
Spangle, WA 99031-9707
Mailing address
29818 S North Pine Creek Rd
Spangle, WA 99031-9707
Phone (509) 245-3223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7441215 | Medicaid | WA |
Other providers in Spangle, WA
- Marvin Richard Gee
- Stephanie Gladding
- Henson SLP PLLC
- Benjawan Moolkeo Irwin
- Gloria Ann Kelley
- Marvin R. Gee, D.D.S., P.S.
- Dakota Purvis
- Danette Rivera
- Karrie Lea Swan
All providers in Spangle, WA · Local Education Agency (LEA) in Washington
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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.