Educational Support Services

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EDUCATIONAL SUPPORT SERVICES

Doing business as

Medical Lake School District

Practice address

317 N Broad St
Box 128
Medical Lake, WA 99022-8763

Phone

(509) 565-3145

Fax

(509) 565-3149

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Mardee King

Title

Compliance

Phone

(509) 565-3145

Specialties & licenses 1

Addresses

Other names 1

• Medical Lake School District Doing business as

Tax ID family

Medical Lake School District3 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.

• Medical Lake School District

  • Local Education Agency (LEA)
  • Medical Lake, WA
  • NPI 1386996957
  NPD tax ID
• Medical Lake School District

  • Local Education Agency (LEA)
  • Medical Lake, WA
  • NPI 1699709907
  NPD tax ID

Locations

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1922445550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N BROAD ST",
            "address_2": "BOX 128",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228763",
            "telephone_number": "509-565-3145",
            "fax_number": "509-565-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N BROAD ST",
            "address_2": "BOX 128",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228763",
            "telephone_number": "509-565-3145",
            "fax_number": "509-565-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARDEE",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "509-565-3145"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Lake School District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Gordon Dunbar, RPH PHD
• Dutton Veterinary Medicine PLLC (Medical Lake Veterinary Clinic)
• Amber Nichole Dvorak, L.M.P.
• Patricia Lynn Dykstra, ARNP
• Eastern State Hospital Pharmacy
• David W. Elkins Jr., PHD
• Aubry Elizabeth Espinosa, RCIS
• Essential Psychiatry, PLLC
• Robert Cory Fanto, PHD
• Marion Arthur Fossum, MD

• Local Education Agency (LEA) in Medical Lake, WA
• Providers in Medical Lake, 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 May 22, 2013; 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.