Organization Active NPI

Satsop School District #104

  • Local Education Agency (LEA)
  • Satsop, WA
National Provider Identifier
1700895372
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
SATSOP SCHOOL DISTRICT #104
Practice address
853 Monte-Elma Road
Satsop, WA 98583
Phone
(360) 482-5330
Fax
(360) 482-5724
NPI assigned
Aug 5, 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
Debra L Scott
Title
Business Manager
Phone
(360) 482-5330

Specialties & licenses 1

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

Addresses

Primary practice location

853 Monte-Elma Road
Satsop, WA 98583

Mailing address

853 Monte-Elma Road
PO Box 96
Satsop, WA 98583
Phone (360) 482-5330

Other identifiers 1

IdentifierTypeStateIssuer
7442973MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700895372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 MONTE-ELMA ROAD",
            "address_2": "PO BOX 96",
            "city": "SATSOP",
            "state": "WA",
            "postal_code": "98583",
            "telephone_number": "360-482-5330",
            "fax_number": "360-482-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MONTE-ELMA ROAD",
            "city": "SATSOP",
            "state": "WA",
            "postal_code": "98583",
            "telephone_number": "360-482-5330",
            "fax_number": "360-482-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATSOP SCHOOL DISTRICT #104",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "360-482-5330"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442973",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Satsop, 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.