Organization Active NPI

Wahluke School District

  • Local Education Agency (LEA)
  • Mattawa, WA
National Provider Identifier
1740363498
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
WAHLUKE SCHOOL DISTRICT
Practice address
411 E Saddle Mountain Drive
Mattawa, WA 99349
Phone
(509) 932-4565
Fax
(509) 932-4571
NPI assigned
Oct 23, 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
Mrs. Teri Davison
Title
Director of Special Education
Phone
(509) 932-4565

Specialties & licenses 1

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

Addresses

Primary practice location

411 E Saddle Mountain Drive
Mattawa, WA 99349

Mailing address

411 E Saddle Mountain Drive
PO Box 907
Mattawa, WA 99349
Phone (509) 932-4565

Other identifiers 1

IdentifierTypeStateIssuer
7442304MedicaidWA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2223053Wahluke School District #73411 E Saddle Mountain Dr, Mattawa, WA 99349Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

411 E Saddle Mountain Dr
Mattawa, WA 99349
Phone (509) 932-4565

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740363498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E SADDLE MOUNTAIN DRIVE",
            "address_2": "PO BOX 907",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "99349",
            "telephone_number": "509-932-4565",
            "fax_number": "509-932-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E SADDLE MOUNTAIN DRIVE",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "99349",
            "telephone_number": "509-932-4565",
            "fax_number": "509-932-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHLUKE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "509-932-4565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442304",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattawa, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.