Provider Demographics
NPI:1114135035
Name:LAKE PEND OREILLE SCHOOL DISTRICT #84
Entity Type:Organization
Organization Name:LAKE PEND OREILLE SCHOOL DISTRICT #84
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-263-9525
Mailing Address - Street 1:430 S DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1777
Mailing Address - Country:US
Mailing Address - Phone:208-263-9525
Mailing Address - Fax:
Practice Address - Street 1:430 S DIVISION AVE
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1777
Practice Address - Country:US
Practice Address - Phone:208-263-9525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)