Provider Demographics
NPI:1124211016
Name:PEACH SPRINGS UNIFIED SCHOOL DISTRICT #8
Entity Type:Organization
Organization Name:PEACH SPRINGS UNIFIED SCHOOL DISTRICT #8
Other - Org Name:PSUSD #8
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CONDICT
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:928-769-2202
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:PEACH SPRINGS
Mailing Address - State:AZ
Mailing Address - Zip Code:86434-0360
Mailing Address - Country:US
Mailing Address - Phone:928-769-2202
Mailing Address - Fax:928-769-2676
Practice Address - Street 1:16500 E. HIGHWAY 66
Practice Address - Street 2:PEACH SPRINGS JR./SR. HIGH
Practice Address - City:PEACH SPRINGS
Practice Address - State:AZ
Practice Address - Zip Code:86434
Practice Address - Country:US
Practice Address - Phone:928-769-2202
Practice Address - Fax:928-769-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management