Provider Demographics
NPI:1215368477
Name:BEAVER COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BEAVER COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DISTRICT SPED DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGSHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-387-2841
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:450 SOUTH 700 WEST
Mailing Address - City:MILFORD
Mailing Address - State:UT
Mailing Address - Zip Code:84751-0309
Mailing Address - Country:US
Mailing Address - Phone:435-387-2841
Mailing Address - Fax:
Practice Address - Street 1:291 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:UT
Practice Address - Zip Code:84713-0291
Practice Address - Country:US
Practice Address - Phone:435-387-2841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)