Provider Demographics
NPI:1235224684
Name:GRANDVIEW SCHOOL DISTRICT
Entity Type:Organization
Organization Name:GRANDVIEW SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPERINTENDENT FOR FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHREEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-882-8510
Mailing Address - Street 1:913 W 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98930
Mailing Address - Country:US
Mailing Address - Phone:509-882-8500
Mailing Address - Fax:509-882-2029
Practice Address - Street 1:913 W 2ND STREET
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:WA
Practice Address - Zip Code:98930
Practice Address - Country:US
Practice Address - Phone:509-882-8500
Practice Address - Fax:509-882-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7442239Medicaid