Provider Demographics
NPI:1396839296
Name:LINCOLN COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LINCOLN COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN LIEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-265-4404
Mailing Address - Street 1:459 SW COAST HWY
Mailing Address - Street 2:PO BOX 1110
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-4931
Mailing Address - Country:US
Mailing Address - Phone:541-265-4404
Mailing Address - Fax:541-265-3231
Practice Address - Street 1:459 SW COAST HWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-4931
Practice Address - Country:US
Practice Address - Phone:541-265-4404
Practice Address - Fax:541-265-3231
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 Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR029194Medicaid