Provider Demographics
NPI:1497869333
Name:TEKOA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TEKOA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PUCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-284-3281
Mailing Address - Street 1:135 N COLLEGE ST
Mailing Address - Street 2:PO BOX 869
Mailing Address - City:TEKOA
Mailing Address - State:WA
Mailing Address - Zip Code:99033-0869
Mailing Address - Country:US
Mailing Address - Phone:509-284-3281
Mailing Address - Fax:509-284-2045
Practice Address - Street 1:135 N COLLEGE ST
Practice Address - Street 2:
Practice Address - City:TEKOA
Practice Address - State:WA
Practice Address - Zip Code:99033-0869
Practice Address - Country:US
Practice Address - Phone:509-284-3281
Practice Address - Fax:509-284-2045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
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
WA7440910Medicaid