Provider Demographics
NPI:1134287709
Name:LANE COUNTY SCHOOL DISTRICT #40
Entity Type:Organization
Organization Name:LANE COUNTY SCHOOL DISTRICT #40
Other - Org Name:CRESWELL SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-895-6003
Mailing Address - Street 1:998 A ST
Mailing Address - Street 2:
Mailing Address - City:CRESWELL
Mailing Address - State:OR
Mailing Address - Zip Code:97426-9633
Mailing Address - Country:US
Mailing Address - Phone:541-895-6000
Mailing Address - Fax:541-895-6019
Practice Address - Street 1:998 A ST
Practice Address - Street 2:
Practice Address - City:CRESWELL
Practice Address - State:OR
Practice Address - Zip Code:97426-9633
Practice Address - Country:US
Practice Address - Phone:541-895-6000
Practice Address - Fax:541-895-6019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)