S Lane County School District 45J3

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

S LANE COUNTY SCHOOL DISTRICT 45J3

Practice address

455 Adams Ave
Cottage Grove, OR 97424-2160

Phone

(541) 942-3381

Fax

(541) 942-8098

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Krista Parent

Title

Superintendent

Phone

(541) 942-3381

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTH LANE SCHOOL DISTRICT Other name

Tax ID family

South Lane Children'S Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Lane Children'S Dental Clinic

  • Voluntary or Charitable Agency
  • Cottage Grove, OR
  • NPI 1497190821
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Noelle West, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Cottage Grove, OR
  • NPI 1316878747
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700959269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ADAMS AVE",
            "address_2": "PO BOX 215",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242160",
            "telephone_number": "541-942-3381",
            "fax_number": "541-942-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ADAMS AVE",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242160",
            "telephone_number": "541-942-3381",
            "fax_number": "541-942-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S LANE COUNTY SCHOOL DISTRICT 45J3",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "541-942-3381"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "020888",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH LANE SCHOOL DISTRICT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurence Rolicheck I
• Adam Roske, PHARMD
• Kelly Arlynne Rowlett, QMHA-R
• Jeremy K Russell, M.A., QMHP
• Nicole Josette Ryckenbusch, LMT
• Safeway Inc
• Dominic Joseph Saladino, PHARMD
• Sanasana Mental Health LLC
• Jessica S Sarabale, LPC
• Patrick Sarver

• Local Education Agency (LEA) in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Local Education Agency (LEA) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.