Organization Active NPI

Elma School District

  • Local Education Agency (LEA)
  • Elma, WA
National Provider Identifier
1659301612
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
ELMA SCHOOL DISTRICT
Practice address
1235 Monte Elma Rd
Elma, WA 98541-9038
Phone
(360) 482-1123
Fax
(360) 482-3963
NPI assigned
Jul 4, 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. John R Luckey
Title
Special Services Director
Phone
(360) 482-1123

Specialties & licenses 1

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

Addresses

Primary practice location

1235 Monte Elma Rd
Elma, WA 98541-9038

Mailing address

1235 Monte Elma Rd
Elma, WA 98541-9038
Phone (360) 482-1123

Other identifiers 1

IdentifierTypeStateIssuer
7441314MedicaidWA

National Provider Directory

National Provider Directory

Locations

1235 Monte Elma Rd
Elma, WA 98541
Phone (360) 482-1123

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659301612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 MONTE ELMA RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419038",
            "telephone_number": "360-482-1123",
            "fax_number": "360-482-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MONTE ELMA RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419038",
            "telephone_number": "360-482-1123",
            "fax_number": "360-482-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPECIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "360-482-1123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441314",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, 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.