Organization Active NPI

Conway School District

  • Local Education Agency (LEA)
  • Mount Vernon, WA
National Provider Identifier
1457455156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CONWAY SCHOOL DISTRICT
Practice address
19710 State Route 534
Mount Vernon, WA 98274-8026
Phone
(360) 445-5785
Fax
(360) 445-4511
NPI assigned
Sep 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Wayne T Robertson, DR.
Title
Superintendent
Phone
(360) 445-5785

Specialties & licenses 1

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

Addresses

Primary practice location

19710 State Route 534
Mount Vernon, WA 98274-8026

Mailing address

19710 State Route 534
Mount Vernon, WA 98274-8026
Phone (360) 445-5785

Other identifiers 1

IdentifierTypeStateIssuer
7442726MedicaidWA

National Provider Directory

National Provider Directory

Locations

19710 State Route 534
Mount Vernon, WA 98274
Phone (360) 445-5785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457455156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 STATE ROUTE 534",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748026",
            "telephone_number": "360-445-5785",
            "fax_number": "360-445-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 STATE ROUTE 534",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748026",
            "telephone_number": "360-445-5785",
            "fax_number": "360-445-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "360-445-5785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442726",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.