Organization Active NPI

Wilbur School District

  • Local Education Agency (LEA)
  • Wilbur, WA
National Provider Identifier
1871607655
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
WILBUR SCHOOL DISTRICT
Practice address
202 Pope Street
Wilbur, WA 99185-1090
Phone
(509) 647-2221
NPI assigned
Aug 18, 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
Sally Goodlake
Title
Business Manager
Phone
(509) 647-2221

Specialties & licenses 1

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

Addresses

Primary practice location

202 Pope Street
Wilbur, WA 99185-1090

Mailing address

PO Box 1090
202 Pope Street
Wilbur, WA 99185-1090
Phone (509) 647-2221

Other identifiers 1

IdentifierTypeStateIssuer
7441199MedicaidWA

National Provider Directory

National Provider Directory

Locations

202 SE Pope Ave
Wilbur, WA 99185
Phone (509) 647-2221

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": "1598054400000",
    "number": "1871607655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "address_2": "202 POPE STREET",
            "city": "WILBUR",
            "state": "WA",
            "postal_code": "991851090",
            "telephone_number": "509-647-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 POPE STREET",
            "city": "WILBUR",
            "state": "WA",
            "postal_code": "991851090",
            "telephone_number": "509-647-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODLAKE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-647-2221"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441199",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbur, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.