Organization Active NPI

State of Wash - State School for the Blind

  • Local Education Agency (LEA)
  • Vancouver, WA
National Provider Identifier
1760596571
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STATE OF WASH - STATE SCHOOL FOR THE BLIND
Practice address
2214 East 13TH Street
Vancouver, WA 98661
Phone
(360) 696-6321
Fax
(360) 737-2120
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Randy Nelson
Title
Fiscal Analyst
Phone
(360) 696-6321

Specialties & licenses 1

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

Addresses

Primary practice location

2214 East 13TH Street
Vancouver, WA 98661

Mailing address

2214 East 13TH Street
Vancouver, WA 98661
Phone (360) 696-6321

Other identifiers 1

IdentifierTypeStateIssuer
7440399MedicaidWA

National Provider Directory

National Provider Directory

Locations

2214 E 13th St
Vancouver, WA 98661
Phone (360) 696-6321

Practitioners & affiliated clinicians

Practitioners 6

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1760596571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 EAST 13TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "360-696-6321",
            "fax_number": "360-737-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 EAST 13TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "360-696-6321",
            "fax_number": "360-737-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WASH - STATE SCHOOL FOR THE BLIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "FISCAL ANALYST",
        "authorized_official_telephone_number": "360-696-6321"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440399",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.