Grand Coulee Dam School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GRAND COULEE DAM SCHOOL DISTRICT

Practice address

110 Stevens Ave
Coulee Dam, WA 99116-1426

Phone

(509) 633-2143

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Loe

Title

Superintendent/Business Manager

Phone

(509) 633-2143

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760413926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STEVENS AVE",
            "city": "COULEE DAM",
            "state": "WA",
            "postal_code": "991161426",
            "telephone_number": "509-633-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STEVENS AVE",
            "city": "COULEE DAM",
            "state": "WA",
            "postal_code": "991161426",
            "telephone_number": "509-633-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND COULEE DAM SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SUPERINTENDENT/BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-633-2143"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441371",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Coulee Dam (Town of Coulee Dam Ambulance-Coulee Dam Fire Department)
• Cheryl Fercha
• Karl Northrup PLLC
• April Oates
• Olivia Gabrielle Ponusky
• Robin Suzanne Sanford, L.M.P.
• Stacie Ann Stout, L.M.T

• Local Education Agency (LEA) in Coulee Dam, WA
• Providers in Coulee Dam, WA by specialty
• Local Education Agency (LEA) in Washington

• 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.