Benton County School Dist 17J

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BENTON COUNTY SCHOOL DIST 17J

Practice address

1620 Applegate St
Philomath, OR 97370-9328

Phone

(541) 929-3169

Fax

(541) 929-3991

NPI assigned

Oct 3, 2006

Last updated

Jul 16, 2008By 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

Kelly Dean Howard

Title

Business Manager

Phone

(541) 929-3169

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHILOMATH SCHOOL DISTRICT 17J Other name

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1902990815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 APPLEGATE ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709328",
            "telephone_number": "541-929-3169",
            "fax_number": "541-929-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 APPLEGATE ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709328",
            "telephone_number": "541-929-3169",
            "fax_number": "541-929-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY SCHOOL DIST 17J",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "541-929-3169"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048780",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILOMATH SCHOOL DISTRICT 17J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Local Education Agency (LEA) in Philomath, OR
• Providers in Philomath, OR by specialty
• Local Education Agency (LEA) in Oregon

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