Provider Demographics
NPI:1134653660
Name:WASATCH CHARTER SCHOOL
Entity Type:Organization
Organization Name:WASATCH CHARTER SCHOOL
Other - Org Name:WASATCH CHARTER SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF STUDENT SUPPORT SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:801-871-3950
Mailing Address - Street 1:1458 E MURRAY HOLLADAY RD
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5037
Mailing Address - Country:US
Mailing Address - Phone:801-871-3950
Mailing Address - Fax:385-557-5190
Practice Address - Street 1:1458 E MURRAY HOLLADAY RD
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-5037
Practice Address - Country:US
Practice Address - Phone:801-871-3950
Practice Address - Fax:385-557-5190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)