NPIMap

Organization Active NPI

Douglas Education Service District

  • Local Education Agency (LEA)
  • Medford, OR
National Provider Identifier
1770735169
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
DOUGLAS EDUCATION SERVICE DISTRICT
Practice address
691 Murphy Road, Suite 112
Medical Arts Building
Medford, OR 97504
Phone
(541) 789-5262
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Barbara Taylor
Title
Coordinator
Phone
(541) 440-4752

Specialties & licenses 1

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

Addresses

Primary practice location

691 Murphy Road, Suite 112
Medical Arts Building
Medford, OR 97504

Mailing address

1871 NE Stephens St
Roseburg, OR 97470-1433
Phone (541) 440-4777

Other identifiers 1

IdentifierTypeStateIssuer
018700MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Douglas Education Service District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

691 Murphy Rd
Ste 112
Medford, OR 97504
Phone (541) 789-5252

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1770735169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701433",
            "telephone_number": "541-440-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MURPHY ROAD, SUITE 112",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-789-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS EDUCATION SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "541-440-4752"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018700",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.