Provider Demographics
NPI:1447388152
Name:PIUTE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PIUTE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-577-2912
Mailing Address - Street 1:500 NORTH MAIN
Mailing Address - Street 2:POBOX 69
Mailing Address - City:JUNCTION
Mailing Address - State:UT
Mailing Address - Zip Code:84740-0069
Mailing Address - Country:US
Mailing Address - Phone:435-577-2912
Mailing Address - Fax:435-577-2561
Practice Address - Street 1:300 SOUTH CENTER
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:UT
Practice Address - Zip Code:84723
Practice Address - Country:US
Practice Address - Phone:435-577-2912
Practice Address - Fax:435-577-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT001251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========001Medicaid