Provider Demographics
NPI:1316032543
Name:ONION CREEK SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ONION CREEK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EDWINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGRAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-732-4240
Mailing Address - Street 1:2006 LOTZE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-8602
Mailing Address - Country:US
Mailing Address - Phone:509-732-4240
Mailing Address - Fax:509-732-6114
Practice Address - Street 1:2006 LOTZE CREEK RD
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-8602
Practice Address - Country:US
Practice Address - Phone:509-732-4240
Practice Address - Fax:509-732-6114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
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
WA7441439Medicaid