Provider Demographics
NPI:1386678241
Name:MERIDIAN SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MERIDIAN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.ED.
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-398-9898
Mailing Address - Street 1:214 W LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-9623
Mailing Address - Country:US
Mailing Address - Phone:360-398-9898
Mailing Address - Fax:360-398-8966
Practice Address - Street 1:214 W LAUREL RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-9623
Practice Address - Country:US
Practice Address - Phone:360-398-9898
Practice Address - Fax:360-398-8966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
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
WA7442130Medicaid