Active NPI
Douglas County School District (Reedsport) 105
- Local Education Agency (LEA)
- Reedsport, OR
National Provider Identifier
1548354103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- DOUGLAS COUNTY SCHOOL DISTRICT (REEDSPORT) 105
- Practice address
- 100 Ranch Raod
Reedsport, OR 97467 - Phone
- (541) 271-3656
- Fax
- (541) 271-3658
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Leann Renae Stuller
- Title
- Business Manager
- Phone
- (541) 271-3656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
100 Ranch Raod
Reedsport, OR 97467
Mailing address
100 Ranch Raod
Reedsport, OR 97467
Phone (541) 271-3656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126776 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
100 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-3656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548354103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RANCH RAOD",
"city": "REEDSPORT",
"state": "OR",
"postal_code": "97467",
"telephone_number": "541-271-3656",
"fax_number": "541-271-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RANCH RAOD",
"city": "REEDSPORT",
"state": "OR",
"postal_code": "97467",
"telephone_number": "541-271-3656",
"fax_number": "541-271-3658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS COUNTY SCHOOL DISTRICT (REEDSPORT) 105",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STULLER",
"authorized_official_first_name": "LEANN",
"authorized_official_middle_name": "RENAE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "541-271-3656",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126776",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reedsport, OR
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.