Provider Demographics
NPI:1043371602
Name:COUNTY OF MALHEUR
Entity Type:Organization
Organization Name:COUNTY OF MALHEUR
Other - Org Name:ONTARIO SCHOOL DISTRICT 8C
Other - Org Type:Other Name
Authorized Official - Title/Position:FISCAL SERVICES MGR.
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-889-5374
Mailing Address - Street 1:195 SW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OR
Mailing Address - Zip Code:97914-2723
Mailing Address - Country:US
Mailing Address - Phone:541-889-5374
Mailing Address - Fax:
Practice Address - Street 1:195 SW 3RD AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2723
Practice Address - Country:US
Practice Address - Phone:541-889-5374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MALHEUR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-13
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR135975Medicaid