Freeman School District #358

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

FREEMAN SCHOOL DISTRICT #358

Practice address

15001 S Jackson Rd
Rockford, WA 99030-9755

Phone

(509) 291-3695

Fax

(509) 291-3636

NPI assigned

Aug 31, 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

Jan Davis

Title

Dir. Fiscal/Admin. Services

Phone

(509) 291-3695

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801907530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 S JACKSON RD",
            "city": "ROCKFORD",
            "state": "WA",
            "postal_code": "990309755",
            "telephone_number": "509-291-3695",
            "fax_number": "509-291-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 S JACKSON RD",
            "city": "ROCKFORD",
            "state": "WA",
            "postal_code": "990309755",
            "telephone_number": "509-291-3695",
            "fax_number": "509-291-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN SCHOOL DISTRICT #358",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIR. FISCAL/ADMIN. SERVICES",
        "authorized_official_telephone_number": "509-291-3695"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442684",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GM Medical Transport LLC
• Amanda Keltz

• Local Education Agency (LEA) in Rockford, WA
• Providers in Rockford, 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.