Lake County School District 11C

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LAKE COUNTY SCHOOL DISTRICT 11C

Practice address

260 Green Street
Paisley, OR 97636-0097

Phone

(541) 943-3111

Fax

(541) 943-3129

NPI assigned

Oct 3, 2018

Last updated

Oct 3, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKE COUNTY SCHOOL DISTRICT #11As reported in NPPES

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

Authorized official

Name

Mr. Paul Hauder

Title

Superintendent

Phone

(541) 943-3111

Specialties & licenses 1

Addresses

Other names 1

• Paisley School District 11C Other name

Part of

Lake County School District 11C

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1407331663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "PAISLEY",
            "state": "OR",
            "postal_code": "976360097",
            "telephone_number": "541-943-3111",
            "fax_number": "541-943-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GREEN STREET",
            "city": "PAISLEY",
            "state": "OR",
            "postal_code": "976360097",
            "telephone_number": "541-943-3111",
            "fax_number": "541-943-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY SCHOOL DISTRICT 11C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE COUNTY SCHOOL DISTRICT #11",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "HAUDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "541-943-3111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paisley School District 11C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Early Intervention Provider Agency in Paisley, OR
• Providers in Paisley, OR by specialty
• Early Intervention Provider Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.