Provider Demographics
NPI:1487665386
Name:INCHELIUM SCHOOL DISTRICT #70
Entity Type:Organization
Organization Name:INCHELIUM SCHOOL DISTRICT #70
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-722-6181
Mailing Address - Street 1:1 HORNET AVE
Mailing Address - Street 2:P.O. BOX 285
Mailing Address - City:INCHELIUM
Mailing Address - State:WA
Mailing Address - Zip Code:99138
Mailing Address - Country:US
Mailing Address - Phone:509-722-6181
Mailing Address - Fax:509-722-6192
Practice Address - Street 1:1 HORNET AVE
Practice Address - Street 2:
Practice Address - City:INCHELIUM
Practice Address - State:WA
Practice Address - Zip Code:99138
Practice Address - Country:US
Practice Address - Phone:509-722-6181
Practice Address - Fax:509-722-6192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
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
WA7442205Medicaid