Provider Demographics
NPI:1114060076
Name:BLUE RIDGE SCHOOL DISTRICT NO. 32
Entity Type:Organization
Organization Name:BLUE RIDGE SCHOOL DISTRICT NO. 32
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-368-6126
Mailing Address - Street 1:1200 W WHITE MOUNTAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85929-6532
Mailing Address - Country:US
Mailing Address - Phone:928-368-6126
Mailing Address - Fax:928-368-5961
Practice Address - Street 1:1200 W WHITE MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:AZ
Practice Address - Zip Code:85929-6532
Practice Address - Country:US
Practice Address - Phone:928-368-6126
Practice Address - Fax:928-368-5961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)