NPIMap

Organization Active NPI

Educational Service District 112

  • Local Education Agency (LEA)
  • Vancouver, WA
National Provider Identifier
1982911079
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EDUCATIONAL SERVICE DISTRICT 112
Practice address
2500 NE 65TH Ave
Vancouver, WA 98661-6812
Phone
(360) 750-7500
Fax
(360) 906-1010
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Tim Merlino
Title
Chief Financial Officer
Phone
(360) 750-7500

Specialties & licenses 1

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

Addresses

Primary practice location

2500 NE 65TH Ave
Vancouver, WA 98661-6812

Mailing address

2500 NE 65 Ave
Vancouver, WA 98661-6812
Phone (360) 750-7500

Other names 1

  • ESD 112 Infant & Toddler Early Development Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Educational Service District 1126 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1982911079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NE 65 AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616812",
            "telephone_number": "360-750-7500",
            "fax_number": "360-906-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE 65TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616812",
            "telephone_number": "360-750-7500",
            "fax_number": "360-906-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL SERVICE DISTRICT 112",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "MERLINO",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "360-750-7500"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESD 112 Infant & Toddler Early Development Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.