Organization Active NPI

Evaline School District

  • Local Education Agency (LEA)
  • Winlock, WA
National Provider Identifier
1811924103
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
EVALINE SCHOOL DISTRICT
Practice address
111 Schoolhouse Rd
Winlock, WA 98596-9718
Phone
(360) 785-3460
NPI assigned
Jun 26, 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
Rebecca J Turnbull
Title
Director, Lewis Co. SP. Ed. Co-Op
Phone
(360) 748-3384

Specialties & licenses 1

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

Addresses

Primary practice location

111 Schoolhouse Rd
Winlock, WA 98596-9718

Mailing address

111 Schoolhouse Rd
Winlock, WA 98596-9718
Phone (360) 785-3460

Other identifiers 1

IdentifierTypeStateIssuer
7440282MedicaidWA

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
50D2245927Evaline School District #36111 Schoolhouse Rd, Winlock, WA 98596Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mossyrock Emergency Ser3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

111 Schoolhouse Rd
Winlock, WA 98596
Phone (360) 785-3460

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811924103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SCHOOLHOUSE RD",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969718",
            "telephone_number": "360-785-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SCHOOLHOUSE RD",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969718",
            "telephone_number": "360-785-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVALINE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNBULL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, LEWIS CO. SP. ED. CO-OP",
        "authorized_official_telephone_number": "360-748-3384"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440282",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winlock, 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.