Provider Demographics
NPI:1194815852
Name:CHURCHILL COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CHURCHILL COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SPECIAL SERVICES DEPARTME
Authorized Official - Prefix:
Authorized Official - First Name:MARVA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-423-5187
Mailing Address - Street 1:255 E STILLWATER AVE
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-3944
Mailing Address - Country:US
Mailing Address - Phone:775-423-5187
Mailing Address - Fax:
Practice Address - Street 1:255 E STILLWATER AVE
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3944
Practice Address - Country:US
Practice Address - Phone:775-423-5187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty